Tracy Dawn Smith, LCPC

NPI #1265810410 in Energy, Illinois

Provider Information

NPI Number: 1265810410
Entity Type: Individual
Name: Tracy Dawn Smith, LCPC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Credential: LCPC
Enumeration Date: May 8, 2015
Last Updated: May 8, 2015

Practice Location

Address: 400 BHRETT DR
City: Energy
State: Illinois
ZIP Code: 62933-3570
Phone: (618) 549-1991

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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