Individual
MRS. TRACY LYNN MAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
18838 STONE OAK PKWY STE 201, SAN ANTONIO, TX 78258-4179
(210) 384-1254
Mailing address
1045 MEADOWS RD, POTEET, TX 78065-4874
(210) 384-1254
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
74070
TX
Other
Enumeration date
03/08/2012
Last updated
02/17/2022
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