Individual
TRACY L DANTZLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SUDP
Contact information
Practice address
10305 E MONTGOMERY DR, SPOKANE VALLEY, WA 99206-4220
(509) 418-2108
(509) 315-9386
Mailing address
101 E MAGNESIUM RD STE 101, SPOKANE, WA 99208-5901
(509) 368-9021
(509) 474-1796
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00002768
WA
Other
Enumeration date
10/15/2019
Last updated
03/23/2022
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