Individual provider · Type 1 NPI
Tracey Bazemore, LPC
Professional Counselor · Hinesville, GA
NPI number
1245614916
Active
Practice location
318 S. Wellborn Street, Suite C
Hinesville, GA 31313
Fax (912) 332-5153
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LPC003735 (GA) |
Professional Counselor: Definition to come...
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About NPI 1245614916
Tracey Bazemore, LPC's National Provider Identifier is 1245614916, issued on Jul 13, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Hinesville, GA. The record was last updated on Jul 13, 2015.