Individual provider · Type 1 NPI
Tracy Renee Matlock, LPC
Counselor · Mtn Home, AR
NPI number
1174641278
Active
Practice location
18 Cr 458
Mtn Home, AR 72653
Mailing address
P.o Box 1655
Mtn Home, AR 72654
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | P0603017 (AR) |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
About NPI 1174641278
Tracy Renee Matlock, LPC's National Provider Identifier is 1174641278, issued on Mar 27, 2007. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Mtn Home, AR. The record was last updated on Jul 8, 2007.