Tracy Lou Klucina in Charlotte - Addiction (substance Use Disorder)
Tracy Lou Klucina - NPI 1184761520
Tracy Lou Klucina is a Addiction (substance Use Disorder) in Charlotte, North Carolina. Tracy Lou Klucina practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Tracy Lou Klucina is 1184761520. The last update date is 2007-07-08.
Tracy Lou Klucina's current location address is 3430 Wheatley Ave, Charlotte, North Carolina. You can contact this provider via phone number 7045912026 and fax number 7043366559. The mailing address for Tracy Lou Klucina is 3430 Wheatley Ave, Charlotte, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracy Lou Klucina |
|---|---|
| Address | 3430 Wheatley Ave, Charlotte, North Carolina |
| Phone Number | 7045912026 |
| Fax Number | 7043366559 |
| Sole Proprietor | N |
| Credentials | LCAS |
NPI Number Detail
| NPI Number | 1184761520 |
|---|---|
| Provider Enumeration Date | 2007-02-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3430 Wheatley Ave |
|---|---|
| City | Charlotte |
| State | North Carolina (NC) |
| Post Code | 282057654 |
| Phone Number | 7045912026 |
| Fax Number | 7043366559 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 944 |
|
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6111873 | NC | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Tracy Lou Klucina?
The Tracy Lou Klucina has been issued the NPI (National Provider Identifier) 1184761520 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Tracy Lou Klucina's facilities are situated?
The facilities of Tracy Lou Klucina are physically located at the following address: 3430 Wheatley Ave, Charlotte, NC, 282057654.
What is Tracy Lou Klucina's specialized field of practice, and what is the corresponding taxonomy classification code?
The Tracy Lou Klucina's area of specialization is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this field of practice is 101Ya0400X.
On what date did the Centers for Medicare & Medicaid Services assign the 1184761520 to Tracy Lou Klucina?
The Centers for Medicare & Medicaid Services assigned the 1184761520 to Tracy Lou Klucina on 2007-02-01.
When was the information regarding Tracy Lou Klucina most recently updated?
The details pertaining to the Tracy Lou Klucina, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.