Individual provider · Type 1 NPI

Traci Agnew, MA, MHP

Mental Health Counselor · Lawrenceville, GA

NPI number 1114080025 Active

Practice location

175 Gwinnett Dr
Lawrenceville, GA 30045-8444

Call (770) 339-5070 Map

Fax (678) 377-3770

Mailing address

3998 Wyndam Hill Dr
Suwanee, GA 30024-6483

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1114080025

Traci Agnew, MA, MHP's National Provider Identifier is 1114080025, issued on Dec 19, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lawrenceville, GA. The record was last updated on Jul 8, 2007.