Individual
MR. TRACY WAYNE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.S., LPC
Contact information
Practice address
301 N ALAMO BLVD, MARSHALL, TX 75670-3455
(903) 407-9701
Mailing address
PO BOX 785, HALLSVILLE, TX 75650-0785
(903) 407-9701
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
19851
TX
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
19851
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1762403-01
—
TX
Enumeration date
05/01/2007
Last updated
06/26/2025
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