Individual provider · Type 1 NPI
Tracy Kristalakis, LPC
Professional Counselor · Macon, GA
NPI number
1659690378
Active
Practice location
4100 Riverside Dr
Macon, GA 31210-1848
Mailing address
1393 Conestoga Trl
Macon, GA 31220-3627
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LPC002786 (GA) |
Professional Counselor: Definition to come...
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About NPI 1659690378
Tracy Kristalakis, LPC's National Provider Identifier is 1659690378, issued on May 19, 2010. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Macon, GA. The record was last updated on May 19, 2010.