Individual provider · Type 1 NPI
Tracey H. Lathrop, CAC
Addiction (Substance Use Disorder) Counselor · Craig, CO
NPI number
1184774267
Active
Practice location
439 Breeze St, Ste 200
Craig, CO 81625-2650
Fax (970) 824-0313
Mailing address
PO Box 40
Glenwood Springs, CO 81602-0040
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 6538 (CO) |
| Counselor | 101Y00000X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1184774267
Tracey H. Lathrop, CAC's National Provider Identifier is 1184774267, issued on Jan 11, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Craig, CO. The record was last updated on Oct 4, 2010.