Individual
DR. TRACY S MOORE-MERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFT-I, PSY.D
Contact information
Practice address
304 S JONES BLVD STE 264, LAS VEGAS, NV 89107-2623
(702) 815-9494
(702) 553-3417
Mailing address
304 S JONES BLVD STE 264, LAS VEGAS, NV 89107-2623
(702) 815-9494
(702) 553-3417
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
MI0875
NV
Other
Enumeration date
08/21/2008
Last updated
10/07/2020
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