Individual
DR. TRACYE LYNNE GARRETT-HERNDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4601 CONNECTICUT AVE NW APT 110, WASHINGTON, DC 20008-5701
(240) 476-2579
Mailing address
4601 CONNECTICUT AVE NW APT 110, WASHINGTON, DC 20008-5701
(240) 476-2579
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
508458
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
SC1230
MD
101YP2500X
Professional Counselor
PRC95
DC
Other
Enumeration date
10/29/2017
Last updated
10/29/2017
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