Individual
TRACY VAN POOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLADC
Contact information
Practice address
1123 N 9TH ST, BEATRICE, NE 68310-2041
(402) 228-3386
Mailing address
1123 N 9TH ST, BEATRICE, NE 68310-2041
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NE
Other
Enumeration date
12/20/2017
Last updated
12/20/2017
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