NPI | 1003959651 |
---|---|
Former Name | TRACY JONES TARPLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC-3151) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACC-6167) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 6167) | |
101YP2500X Counselor, Professional (Licence: CO 3151) | |
Enumeration Date | 2007-02-14 |
Last Update Date | 2011-12-12 |