Individual provider · Type 1 NPI

Tracy Ennis, MS

Mental Health Counselor · Queensbury, NY

NPI number 1699017723 Active

Practice location

123 Dixon Rd
Queensbury, NY 12804-2133

Call (518) 798-2088 Map

Fax (518) 798-2088

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1699017723

Tracy Ennis, MS's National Provider Identifier is 1699017723, issued on Mar 27, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Queensbury, NY. The record was last updated on Jan 2, 2014.