Doctor Name: | ANGELA E TRACY |
NPI Number: | 1396107835 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPCC |
License Number: | E.0800242 |
Business Practice Address: | 146 Granville St Gahanna, OH - 432303074 |
Business Phone Number: | 6146487637 |
Business Fax Number: | |
Mailing Address: | 1949 Fortstone Ln, COLUMBUS |
State: | OH |
Postal Code: | 432283876 |
Phone Number: | 6145586961 |
Fax Number: | |
NPI Enumeration Date: | 03/23/2016 |
NPI Last Update Date: | 06/12/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | E.0800242 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |