Individual
TRACIE MEADERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
8012 STEWART MOUNTAIN DR, EAGLE RIVER, AK 99577-9013
(907) 279-9627
(907) 279-9632
Mailing address
16941 N EAGLE RIVER LOOP RD STE 1, EAGLE RIVER, AK 99577-7824
(907) 726-3963
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
PCOP907
AK
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
07/23/2009
Last updated
10/30/2019
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