Organization
LIVE LOVE AND BE FREE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRACI MANRY LPC (OWNER)
(925) 709-4044
Entity
Organization
Contact information
Practice address
15396 N 83RD AVE STE G103, PEORIA, AZ 85381-5629
(925) 709-4044
Mailing address
15396 N 83RD AVE STE G103, PEORIA, AZ 85381-5629
(925) 709-4044
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/07/2022
Last updated
04/09/2024
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