Individual
MS. JOLYNN TRACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
508 E. FLORIDA, NAMPA, ID 83686-5823
(208) 463-0118
(208) 463-1507
Mailing address
1363 W STOREY ST, MERIDIAN, ID 83646-1496
(208) 898-0315
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/12/2013
Last updated
08/12/2013
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