Individual provider · Type 1 NPI
Tracey L. Johnson
Professional Counselor · Memphis, TN
NPI number
1124168877
Active
Practice location
6009 Squire Ct, #1
Memphis, TN 38115-3226
Mailing address
2946 Covington Pike, Pmb 162
Memphis, TN 38128-6007
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | 61252 (TN) |
| Professional Counselor Primary | 101YP2500X | 2331 (TN) |
Professional Counselor: Definition to come...
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About NPI 1124168877
Tracey L. Johnson's National Provider Identifier is 1124168877, issued on Feb 8, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Memphis, TN. The record was last updated on Sep 4, 2008.