Individual provider · Type 1 NPI

Tracy Thurston, MC, LPC

Professional Counselor · Phoenix, AZ

NPI number 1124374806 Active

Practice location

3540 E Baseline Rd Ste 150
Phoenix, AZ 85042-9630

Mailing address

202 E Earll Dr Ste 200
Phoenix, AZ 85012-2647

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC-12198 (AZ)

Professional Counselor: Definition to come...

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About NPI 1124374806

Tracy Thurston, MC, LPC's National Provider Identifier is 1124374806, issued on Jul 31, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Phoenix, AZ. The record was last updated on Feb 26, 2019.