Individual
MRS. TRACY ANN TRELOAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.A.C.
Contact information
Practice address
3225 S WADSWORTH BLVD, UNIT T, LAKEWOOD, CO 80227-5019
(303) 231-0090
Mailing address
3225 S WADSWORTH BLVD, UNIT T, LAKEWOOD, CO 80227-5019
(303) 231-0090
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACD.0000473
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
624855
—
CO
Enumeration date
09/03/2014
Last updated
09/03/2014
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