Tracie Lynn Giambra-Vye, LCPC-c
Counselor, Professional in Lewiston, ME. Individual provider (NPI-1).
NPI number1548086705
StatusActive
Last updated in NPPESDec 3, 2024
Details
- NPI
- 1548086705
- Entity type
- Individual (NPI-1)
- Name
- Tracie Lynn Giambra-Vye
- Credential
- LCPC-c
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 3, 2024
- Certification date
- Dec 3, 2024
- Last updated
- Dec 3, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | XL7837 | ME | Yes |
Practice location
179 Lisbon St Ste 201Lewiston, ME 04240-7248
Phone 207-405-7501 · Fax 207-782-9011
Mailing address
179 Lisbon St Ste 201Lewiston, ME 04240-7248
Phone 207-405-7501
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