Individual
ASHLEY N TRACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
41945 BIG BEAR BLVD., SUITE 208, BIG BEAR LAKE, CA 92315
(909) 878-0101
Mailing address
PO BOX 6070, BIG BEAR LAKE, CA 92315-6070
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/09/2011
Last updated
02/09/2011
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