Individual
MS. RENEE ANN TRACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
40 AIRPORT RD, WATERVILLE, ME 04901-4524
(207) 872-7272
(207) 872-0639
Mailing address
40 AIRPORT RD, WATERVILLE, ME 04901-4524
(207) 872-7272
(207) 872-0639
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC3917
ME
Other
Enumeration date
07/26/2019
Last updated
08/24/2021
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