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Individual

TRACEY TAYLOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC, NCC, CRC, CAADC

Contact information

Practice address
262 CHESTNUT ST STE 1, MEADVILLE, PA 16335-3302
(814) 807-2746
Mailing address
PO BOX 347, MEADVILLE, PA 16335-0347
(814) 807-2746

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PC007192
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103081417001
PA
Enumeration date
07/08/2014
Last updated
03/30/2017
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