Individual
TRACEY ANORA HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3675 PECOS MECLEOD STE 900, LAS VEGAS, NV 89121
(702) 538-7412
(702) 538-7418
Mailing address
3675 PECOS MECLEOD STE 900, LAS VEGAS, NV 89121
(702) 538-7412
(702) 538-7418
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12111-I
NV
Other
Enumeration date
08/01/2019
Last updated
08/01/2019
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