Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. LYNETTE EFFIE TRACY, CDP, LICSW
ActiveAddiction (Substance Use Disorder) Counselor · VANCOUVER, WA
Registration Details
- NPI Number
- 1780769216
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 25, 2006 (19.489773399988 yrs)
- Last Updated
- Jun 10, 2013
- Licenses
-
CP00005446 (WA)LW 60363996 (WA)
Practice Information
- Address
-
1601 E FOURTH PLAIN BLVDBLDG 17VANCOUVER, WA, 986613753Browse WA providers · Browse ZIP 98661
- Phone
- 3603978246
- Fax
- 3603978450
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
- Additional Specialty
- Clinical Social Worker
Other Addiction (Substance Use Disorder) Counselor Providers in VANCOUVER, WA
| Name | Credential | NPI |
|---|---|---|
| COLLEEN JOANNE KRAGNESS | BA, CDPII | 1962415448 |
| DAN PARKER RUSH | M.A. | 1710097928 |
| MRS. DANYA M PATTON | CDP | 1679678114 |
| JASON SLATON | MA | 1114019577 |
| MR. SHAUN EDWARD WILLIAMS | BS, CDPT | 1861566358 |
| KIMBERLY J KING | CDPT | 1407915788 |
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.