Individual
TRACY FITZPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 E CHESTNUT ST UNIT 610, LOUISVILLE, KY 40202-5711
(502) 588-4450
(502) 588-9539
Mailing address
401 E CHESTNUT ST UNIT 600, LOUISVILLE, KY 40202-5705
(502) 588-4425
(502) 588-4427
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
168458
KY
101YA0400X
Addiction (Substance Use Disorder) Counselor
895
KY
Other
Enumeration date
03/08/2007
Last updated
10/17/2017
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