Individual provider · Type 1 NPI

Tracy Wade Marx, DMIN, TCADC

Addiction (Substance Use Disorder) Counselor · Shelbyville, KY

NPI number 1225709405 Active

Practice location

213 Midland Blvd
Shelbyville, KY 40065-7791

Call (502) 647-0154 Map

Fax (502) 633-4043

Mailing address

10529 Watterson Trl Apt 4
Louisville, KY 40299-3792

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1225709405

Tracy Wade Marx, DMIN, TCADC's National Provider Identifier is 1225709405, issued on Sep 27, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Shelbyville, KY. The record was last updated on Sep 27, 2021.