Individual
MR. TRACY HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5505 BRITE DR, BETHESDA, MD 20817-6304
(240) 883-2923
Mailing address
5505 BRITE DR, BETHESDA, MD 20817-6304
(240) 883-2923
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP12976
MD
101YM0800X
Mental Health Counselor
LGPC200001385
DC
Other
Enumeration date
06/28/2024
Last updated
06/28/2024
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