Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TRACY RENEE MATLOCK, LPC
ActiveTRACY RENEE MATLOCK, LPC is a Counselor healthcare provider located in MTN. HOME, Arkansas. NPI 1174641278 is currently active in the NPPES registry. Verify at CMS.
Counselor · MTN. HOME, AR
Registration Details
- NPI Number
- 1174641278
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 27, 2007 (19.382388344122 yrs)
- Last Updated
- Jul 8, 2007
- License
-
P0603017 (AR)
Practice Information
- Address
-
18 CR 458MTN. HOME, AR, 72653Browse AR providers · Browse ZIP 72653
- Phone
- 8704253547
- Primary Specialty
-
Counselor
101Y00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.