Individual
MR. TRACY VINCENT TERPSTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2189 APD 40, SUITE #1, CLEVELAND, TN 37323-6597
(423) 559-3129
(423) 559-3129
Mailing address
3290 SOMERSET DR SE, CLEVELAND, TN 37323-0421
(423) 559-3129
(423) 559-3129
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1846
TN
101YM0800X
Mental Health Counselor
5245
NC
Other
Enumeration date
03/31/2006
Last updated
07/09/2007
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