NPI Profile for TRACY HUMPHREY in RUSSELLVILLE, AR.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction (Substance Use Disorder) |
101YA0400X |
| NPI Number | 1750762969 |
|
| Status | Active | |
| Credentials | CIT | |
| Entity | Individual | |
| Enumeration date | 06/12/2015 | |
| Last updated | 06/12/2015 - About 11 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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TRACY HUMPHREY
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