Individual
DR. TRACEY N MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCC, LPC
Contact information
Practice address
90 W LAKEVIEW DR., CLINTON, MS 39056-5266
(166) 258-6181
(769) 241-0062
Mailing address
PO BOX 1142, CLINTON, MS 39060-1142
(601) 622-6260
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1815
MS
Other
Enumeration date
09/23/2013
Last updated
08/22/2023
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