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Tracey Smith, CADC,LPCC

Counselor, Professional in Jackson, KY. Individual provider (NPI-1).

NPI number1366869596
StatusActive
Last updated in NPPESApr 2, 2018

Details

NPI
1366869596
Entity type
Individual (NPI-1)
Name
Tracey Smith
Credential
CADC,LPCC
Sex
Female
Sole proprietor
No
Enumeration date
Mar 26, 2014
Last updated
Apr 2, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional103847KYYes

Practice location

3830 Highway 15 S
Jackson, KY 41339-8675

Phone 606-666-7591 · Fax 606-666-8364

Mailing address

115 Rockwood Ln
Hazard, KY 41701-9415

Phone 606-436-5761 · Fax 606-436-5797

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