Individual
TRACIE OTTMAN
Active
Individual
TRACIE OTTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPCA
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
A15044
NC
103TC1900X
Counseling Psychologist
Primary
90507
TX
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
05/14/2015
Last updated
12/21/2022
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