Individual provider · Type 1 NPI
Tracy Humphrey, CIT
Addiction (Substance Use Disorder) Counselor · Russellville, AR
NPI number
1750762969
Active
Practice location
400 Lake Front Dr
Russellville, AR 72802-2206
Fax (479) 968-4331
Mailing address
PO Box 1463
Russellville, AR 72811-1463
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
2 other providers at this address
Other addiction (substance use disorder) counselor providers in Russellville
- Phillip M. Higdon, MS LADAC CCSAddiction (Substance Use Disorder) Counselor Russellville, AR NPI 1023104338
- Gail L. Ungemach, CADCAddiction (Substance Use Disorder) Counselor Russellville, AR NPI 1235208612
- Grace Rideout, CITAddiction (Substance Use Disorder) Counselor Russellville, AR NPI 1649651852
About NPI 1750762969
Tracy Humphrey, CIT's National Provider Identifier is 1750762969, issued on Jun 12, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Russellville, AR. The record was last updated on Jun 12, 2015.