Individual provider · Type 1 NPI

Tracy Ennis

Addiction (Substance Use Disorder) Counselor · Chandler, AZ

NPI number 1366028219 Active

Practice location

908A W Chandler Blvd
Chandler, AZ 85225-4903

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 1366028219

Tracy Ennis's National Provider Identifier is 1366028219, issued on Mar 22, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Chandler, AZ. The record was last updated on Mar 22, 2021.