Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tracy Charles, BS

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1366800526

Tracy Charles, BS is an Addiction (Substance Use Disorder) Counselor in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2016
What do these letters mean?
BS — Bachelor of Science
An undergraduate science degree.

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Practice location Address checks out

6037 N 11th St
Philadelphia, PA 19141-3201
Phone: (215) 588-5071
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X (PA)

Record details

NPI number1366800526
Entity typeIndividual (Type 1)
GenderFemale
Credentials BS
Sole proprietorYes
NPI enumeratedFebruary 3, 2016
Last updated in NPPESFebruary 3, 2016

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