Individual
TRACY HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2443 LYNN RD STE 112, RALEIGH, NC 27612-6759
(919) 646-1950
Mailing address
2443 LYNN RD STE 112, RALEIGH, NC 27612-6759
(919) 646-1950
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-28938
NC
Other
Enumeration date
10/24/2022
Last updated
02/20/2024
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