Tracy Humphrey LCPC

NPI 1275843435 - Counselor - 101YP2500X

NPI Details
NPI 1275843435
Gender Female
Enumeration Date 10/20/2010
Last Updated 08/18/2015
Entity Type Individual
Active Over 6 years ago
Practice Location
799 ROOSEVELT RD
BLDG 4-303
GLEN ELLYN IL, 60137-5908, US
Phone (630) 306-3907
Fax
Business Location
799 ROOSEVELT RD
BLDG 4-303
GLEN ELLYN IL, 60137-5908, US
Phone (630) 306-3907
Fax
Toxanomy
Taxonomy Code 101YP2500X
License State Illinois
License Number 180.002682
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According to our database, Mrs. Tracy Humphrey LCPC NPI is 1275843435, taxonomy code is 101YP2500X and license number is 180.002682, license state is located at Illinois. Tracy Humphrey LCPC physically located at 799 Roosevelt Rd, Glen Ellyn IL, 60137-5908. NPI Number Tracy Humphrey LCPC has the Individual type.

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1275843435 NPI number is provided on an as is basis without warranty of any kind. 1275843435 is maintained by the National Plan & Provider Enumeration System. The contents of Tracy Humphrey LCPC are for informational purposes only.