Individual
MS. TRACY SHAUNTEL SIMPKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC CAMS CGS CRPS
Contact information
Practice address
2350 HOUSTON LAKE RD APT 1610, KATHLEEN, GA 31047-5426
(478) 442-6579
Mailing address
2350 HOUSTON LAKE RD APT 1610, KATHLEEN, GA 31047-5426
(478) 442-6579
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
879
GA
Other
Enumeration date
09/26/2023
Last updated
09/26/2023
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