Individual
TRACY FAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAC III
Contact information
Practice address
2560 W 29TH AVE, DENVER, CO 80211-3712
(303) 477-8280
Mailing address
2560 W 29TH AVE, DENVER, CO 80211-3712
(303) 477-8280
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACC.0007156
CO
Other
Enumeration date
05/06/2015
Last updated
05/06/2015
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