Individual provider · Type 1 NPI

Tracy Lee Mattingly-Miller, LPCC, NCC

Professional Counselor · Richmond, KY

NPI number 1790159002 Active

Practice location

1421 Lexington Rd
Richmond, KY 40475-1059

Call (859) 624-2454 Map

Fax (859) 624-2454

Mailing address

345 Boggs Rd
London, KY 40744-7204

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X1205 (KY)
Professional Counselor Primary 101YP2500X105746 (KY)

Professional Counselor: Definition to come...

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About NPI 1790159002

Tracy Lee Mattingly-Miller, LPCC, NCC's National Provider Identifier is 1790159002, issued on Nov 24, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Richmond, KY. The record was last updated on May 26, 2016.