Individual
TRACEY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
4040 MEMORIAL PKWY SW, HUNTSVILLE, AL 35802-4364
(256) 533-1970
Mailing address
2702 SPARKMAN DR NW, HUNTSVILLE, AL 35810-3708
(209) 489-6597
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/02/2018
Last updated
01/02/2018
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