Tracy Heart, M.A., LPC
Counselor, Professional in Portland, OR. Individual provider (NPI-1).
NPI number1407186299
StatusActive
Last updated in NPPESDec 30, 2009
Details
- NPI
- 1407186299
- Entity type
- Individual (NPI-1)
- Name
- Tracy Heart
- Credential
- M.A., LPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 30, 2009
- Last updated
- Dec 30, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | C2403 | OR | Yes |
Practice location
2037 Nw Lovejoy StPortland, OR 97209-1515
Phone 503-805-6185
Mailing address
5156 Sw Multnomah BlvdCondo F
Portland, OR 97219-3372
Phone 503-805-6185
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