Individual provider · Type 1 NPI

Tracy Marie Ivey

Addiction (Substance Use Disorder) Counselor · Fort Worth, TX

NPI number 1679149033 Active

Practice location

5201 Mccart Ave
Fort Worth, TX 76115-3711

Fax (817) 207-8778

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X54098 (TX)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1679149033

Tracy Marie Ivey's National Provider Identifier is 1679149033, issued on May 27, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fort Worth, TX. The record was last updated on May 27, 2021.