Individual
TRACEY ELDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 PRESTON AVE, CHARLOTTESVILLE, VA 22903-4420
(434) 972-1800
(434) 972-1831
Mailing address
800 PRESTON AVE, CHARLOTTESVILLE, VA 22903-4420
(434) 972-1800
(434) 972-1831
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0904001762
VA
Other
Enumeration date
02/03/2015
Last updated
02/03/2015
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