Individual
JAMIE TRACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAMFT
Contact information
Practice address
3024 LOS ROBLES, ALAMOGORDO, NM 88310-3964
(575) 442-1357
Mailing address
301 TEXAS AVE, ALAMOGORDO, NM 88310-6874
(575) 434-3011
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
T-CTL0205341
NM
Other
Enumeration date
12/25/2016
Last updated
07/23/2019
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