Individual provider · Type 1 NPI
Traci Chevonn Blue, LPC
Mental Health Counselor · Raleigh, NC
NPI number
1174678155
Active
Practice location
317 W Morgan St, Apt 410
Raleigh, NC 27601-1472
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 4643 (NC) |
Mental Health Counselor: Definition to come...
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About NPI 1174678155
Traci Chevonn Blue, LPC's National Provider Identifier is 1174678155, issued on Jan 23, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Raleigh, NC. The record was last updated on Dec 10, 2008.