Individual provider · Type 1 NPI

Ryan David Tracy, LCPC

Professional Counselor · Severna Park, MD

NPI number 1972158574 Active

Practice location

819 Ritchie Hwy
Severna Park, MD 21146-4197

Fax (410) 431-5112

Mailing address

819 Ritchie Hwy Ste 1020
Severna Park, MD 21146-4193

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLC7319 (MD)

Professional Counselor: Definition to come...

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About NPI 1972158574

Ryan David Tracy, LCPC's National Provider Identifier is 1972158574, issued on Aug 9, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Severna Park, MD. The record was last updated on Aug 9, 2019.