Individual
MRS. TRACI SKINNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC/MHSP
Contact information
Practice address
7932 HYMAN DR, BARTLETT, TN 38133-2862
(312) 259-2001
Mailing address
7932 HYMAN DR, BARTLETT, TN 38133-2862
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2250
TN
101YP2500X
Professional Counselor
2250
TN
Other
Enumeration date
07/17/2008
Last updated
07/17/2008
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