Individual provider · Type 1 NPI
Tracey Moore, LPC
Professional Counselor · Gladewater, TX
NPI number
1972314573
Active
Practice location
14970 County Road 373
Gladewater, TX 75647-9173
Other practice locations
- 14970 County Road 373, Gladewater, TX 75647-9173 · (903) 330-2580
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 75723 (TX) |
Professional Counselor: Definition to come...
About NPI 1972314573
Tracey Moore, LPC's National Provider Identifier is 1972314573, issued on Jan 14, 2025. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Gladewater, TX. The record was last updated on Jan 14, 2025.