Tracy Proveaux
NPI #1063142768 in Columbia, South Carolina
Provider Information
- NPI Number
- 1063142768
- Entity Type
- Individual
- Name
- Tracy Proveaux
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Jun 15, 2022
- Last Updated
- Jun 15, 2022
Practice Location
- Address
- 2711 COLONIAL DR
- City
- Columbia
- State
- South Carolina
- ZIP Code
- 29203-6818
- Phone
- (803) 726-9300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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