Individual
MRS. TRACIE COLSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CAADC, LCDP
Contact information
Practice address
2999 PHILADELPHIA PIKE, CLAYMONT, DE 19703-2507
(302) 792-0700
(302) 792-0800
Mailing address
407 NAUGHTY LN, MIDDLETOWN, DE 19709-3028
(267) 816-7247
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CD0010131
DE
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/19/2023
Last updated
02/09/2025
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