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Individual

TRACIE MINCKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, LPC-S, CCTP

Contact information

Practice address
38105 POST OFFICE RD STE 8, PRAIRIEVILLE, LA 70769-4296
(225) 402-2436
(225) 255-2820
Mailing address
13367 KEVIN RD, GONZALES, LA 70737-6835
(504) 606-1503
(985) 781-3754

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5178
LA

Other

Enumeration date
01/06/2014
Last updated
05/14/2025
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