Individual provider · Type 1 NPI

Traci Renee Manry, LPC

Professional Counselor · Peoria, AZ

NPI number 1003429937 Active

Practice location

15396 N 83rd Ave Ste G103
Peoria, AZ 85381-5629

Call (925) 709-4044 Map

Fax (925) 709-4044

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC19276
Professional Counselor 101YP2500XLAC-17108 (AZ)

Professional Counselor: Definition to come...

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About NPI 1003429937

Traci Renee Manry, LPC's National Provider Identifier is 1003429937, issued on Aug 29, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Peoria, AZ. The record was last updated on May 1, 2023.