Individual
MRS. TRACIE R GARRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., LADC
Contact information
Practice address
4911 N PORTLAND AVE, OKLAHOMA CITY, OK 73112-6171
(405) 751-0800
(405) 751-6488
Mailing address
4911 N PORTLAND AVE, OKLAHOMA CITY, OK 73112-6171
(405) 751-0800
(405) 751-6488
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0966450804
OK
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
691
OK
Other
Enumeration date
03/22/2007
Last updated
09/22/2020
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