Individual
MR. RYAN DAVID TRACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
819 RITCHIE HWY, SEVERNA PARK, MD 21146-4197
(410) 431-5111
(410) 431-5112
Mailing address
819 RITCHIE HWY STE 1020, SEVERNA PARK, MD 21146-4193
(410) 431-5111
(410) 431-5112
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC7319
MD
Other
Enumeration date
08/09/2019
Last updated
08/09/2019
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