Individual
MRS. TRACY HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRPA-P
Contact information
Practice address
80 STATE HIGHWAY 310 STE 1, CANTON, NY 13617-1493
(315) 386-2189
(315) 386-2435
Mailing address
80 STATE HIGHWAY 310 STE 1, CANTON, NY 13617-1493
(315) 386-2189
(315) 386-2435
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
40131
NY
175T00000X
Peer Specialist
—
—
Other
Enumeration date
09/02/2020
Last updated
08/21/2025
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