Individual
TRACY KATHLEEN HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
908 S MARTIN LUTHER KING JR BLVD, AMERICUS, GA 31719-2917
(229) 931-2798
Mailing address
908 S MLK, JR. BLVD., AMERICUS, GA 31709
(229) 931-2798
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/20/2023
Last updated
07/21/2023
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