Individual provider · Type 1 NPI

Tracy Martin, MA, TCAC

Addiction (Substance Use Disorder) Counselor · Cheverly, MD

NPI number 1689081044 Active

Practice location

3003 Hospital Dr, Groud Floor
Cheverly, MD 20785-1194

Call (301) 583-5935 Map

Fax (301) 583-5942

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XAOD - TRAINEE (MD)

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

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About NPI 1689081044

Tracy Martin, MA, TCAC's National Provider Identifier is 1689081044, issued on Jul 17, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Cheverly, MD. The record was last updated on Jul 17, 2014.