Individual
MS. TRACY JACKSON SNYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCASA
Contact information
Practice address
596 E JACKSON BLVD BLDG B, ERWIN, NC 28339-9629
(910) 897-2008
(910) 897-2009
Mailing address
596 E JACKSON BLVD BLDG B, ERWIN, NC 28339-9629
(910) 897-2008
(910) 897-2009
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-30728
NC
Other
Enumeration date
12/03/2021
Last updated
12/16/2025
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