Individual
MS. TRACIE LYNN CAMLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAC
Contact information
Practice address
630 MINNESOTA AVE STE 204, KANSAS CITY, KS 66101-2850
(913) 281-1995
(913) 281-2317
Mailing address
630 MINNESOTA AVE STE 204, KANSAS CITY, KS 66101-2850
(913) 281-1995
(913) 281-2317
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
261
KS
Other
Enumeration date
10/22/2012
Last updated
10/22/2012
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