Individual provider · Type 1 NPI

Tracy Charles, BS

Addiction (Substance Use Disorder) Counselor · Philadelphia, PA

NPI number 1366800526 Active

Practice location

6037 N 11th St
Philadelphia, PA 19141-3201

Call (215) 588-5071 Map

Mailing address

6037 North 11th Street
Philadelphia, PA 19141

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 1366800526

Tracy Charles, BS's National Provider Identifier is 1366800526, issued on Feb 3, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Philadelphia, PA. The record was last updated on Feb 3, 2016.