Individual
TRACEY SAMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4 PUTNAM VILLAGE DR, HURRICANE, WV 25526-1354
(304) 757-0057
Mailing address
4 PUTNAM VILLAGE DR, HURRICANE, WV 25526-1354
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
KY
Other
Enumeration date
12/11/2018
Last updated
03/15/2024
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