Individual
TRACI WALTERS TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
150 WOODLAND DR, CHRISTIANSBURG, VA 24073-4630
(540) 315-8553
Mailing address
4445 CORPORATION LN STE 264, VIRGINIA BEACH, VA 23462-3262
(540) 351-8553
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/08/2020
Last updated
12/29/2022
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