Individual
JOHN MCCREARY TRACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3312 KALISTE SALOOM RD BLDG 1, LAFAYETTE, LA 70508-7449
(337) 534-0727
(337) 534-0737
Mailing address
PO BOX 53171, LAFAYETTE, LA 70505-3171
(337) 889-5830
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
1406
LA
Other
Enumeration date
02/26/2018
Last updated
07/21/2023
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