DUSTIN TRACY LMHC
NPI 1932241197
Counselor - Mental Health in Plymouth, MA
Active since February 13, 2007
About Dustin Tracy Lmhc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DUSTIN TRACY LMHC (NPI 1932241197) is an individual mental health provider in Plymouth, Massachusetts, licensed in (5984) and active in the NPI registry since February 2007.
NPPES Registry Identity
NPI1932241197
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameDUSTIN TRACYCredential: LMHC
Location Address39 INDUSTRIAL PARK RD # APlymouth, MA 02360-4868
Mailing Address55 Rev Nazareno Properzi WaySomerville, MA 02143-3204 · (617) 666-3527
Phone(508) 830-1444
Sole ProprietorNo
Enumeration DateFebruary 13, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1932241197 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed · 5984
39 INDUSTRIAL PARK RD # A, Plymouth, MA 02360
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1932241197, enumerated as an "individual" on February 13, 2007.
The provider is located at 39 INDUSTRIAL PARK RD # A PLYMOUTH, MA 02360 and the phone number is (508) 830-1444.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.