Individual provider · Type 1 NPI

Jack Frank Tracy Ii, PhD

Mental Health Counselor · Norman, OK

NPI number 1609089655 Active

Practice location

1006 24th Ave NW Ste 100
Norman, OK 73069-6344

Fax (405) 801-2846

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X3829 (OK)
Psychologist 103T00000X1120 (OK)

Mental Health Counselor: Definition to come...

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About NPI 1609089655

Jack Frank Tracy Ii, PhD's National Provider Identifier is 1609089655, issued on May 7, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Norman, OK. The record was last updated on Feb 9, 2012.