Mrs. Tracey Wallace
Mrs. Tracey Wallace is a Mental Health Counselor in Atlanta, Georgia. Practices as a sole proprietor. Registered with an NPI since 2013.
- In the registry since
- 2013
Practice location Address checks out
122 Wolf Tail Ct SWAtlanta, GA 30349-6547
Phone: (336) 210-2957
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1053748038 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | October 4, 2013 |
| Last updated in NPPES | October 4, 2013 |
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