Individual
TRACIE M SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
140 N ASHLAND AVE, CHICAGO, IL 60607-1802
(312) 850-0050
(312) 850-9095
Mailing address
140 N ASHLAND AVE, CHICAGO, IL 60607-1802
(312) 850-0050
(312) 850-9095
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/05/2020
Last updated
06/05/2020
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