Individual
LAUREN E TRACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC T
Contact information
Practice address
3 COMMERCIAL PL, NEWBURGH, NY 12550-5306
(845) 220-2146
Mailing address
3 COMMERCIAL PL, NEWBURGH, NY 12550-5306
(845) 220-2146
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
39288
NY
Other
Enumeration date
05/03/2024
Last updated
05/13/2024
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