Individual provider · Type 1 NPI
Tracy E. Crain, LPC-S, LCDC
Mental Health Counselor · Southlake, TX
NPI number
1740444926
Active
Practice location
305 Miron Drive
Southlake, TX 76092
Fax (682) 292-1380
Mailing address
217 West Mill Valley Drive
Colleyville, TX 76034
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCDC 9238 (TX) |
| Professional Counselor | 101YP2500X | LPC 19459 (TX) |
| Mental Health Counselor Primary | 101YM0800X | LPC 19459 (TX) |
Mental Health Counselor: Definition to come...
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About NPI 1740444926
Tracy E. Crain, LPC-S, LCDC's National Provider Identifier is 1740444926, issued on Jul 16, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Southlake, TX. The record was last updated on Oct 7, 2022.