Individual
TRACIE LASHANE RAGLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3756 SANTA ROSALIA DR, LOS ANGELES, CA 90008-3606
(530) 221-9911
Mailing address
3756 SANTA ROSALIA DR, LOS ANGELES, CA 90008-3606
(562) 596-0050
(562) 596-0058
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
CA
101YP2500X
Professional Counselor
Primary
11967
CA
Other
Enumeration date
09/10/2020
Last updated
10/03/2023
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