Individual
MS. TRACEY ELAINE GROUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
23164 DRAGOON RD, LIGNUM, VA 22726-2036
(540) 399-1926
Mailing address
23164 DRAGOON RD, LIGNUM, VA 22726-2036
(540) 399-1926
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701002966
VA
Other
Enumeration date
08/02/2013
Last updated
08/02/2013
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