Renae Tracie in Muskogee - Addiction (substance Use Disorder)

Renae Tracie - NPI 1598947046

Renae Tracie is a Addiction (substance Use Disorder) in Muskogee, Oklahoma. Renae Tracie practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Renae Tracie is 1598947046. The last update date is 2012-07-27.

Renae Tracie's current location address is 1309 S 37th St, Muskogee, Oklahoma. You can contact this provider via phone number 9189132434. The mailing address for Renae Tracie is 1309 S 37th St, Muskogee, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Name Renae Tracie
Address 1309 S 37th St, Muskogee, Oklahoma
Phone Number 9189132434
Fax Number
Sole Proprietor N
Credentials MASTERS

NPI Number Detail

NPI Number 1598947046
Provider Enumeration Date 2007-11-27
Last Updated Date 2012-07-27

Provider Mailing Address Detail

Address 1309 S 37th St
City Muskogee
State Oklahoma (OK)
Post Code 744017908
Phone Number 9189132434
Fax Number

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No 730947232
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

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FAQs about Renae Tracie

What is the unique provider identifier assigned to Renae Tracie?

The Renae Tracie has been issued the NPI (National Provider Identifier) 1598947046 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 Renae Tracie's facilities are situated?

The facilities of Renae Tracie are physically located at the following address: 1309 S 37Th St, Muskogee, OK, 744017908.

What is the area of specialization for Renae Tracie, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Renae Tracie is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this area of expertise is 101Ya0400X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1598947046 to Renae Tracie?

The Centers for Medicare & Medicaid Services originally issued the 1598947046 to Renae Tracie on 2007-11-27.

As of what date were the Renae Tracie's details last updated?

The information pertaining to the Renae Tracie, including its address, specialty, and other details, was most recently updated on 2012-07-27.

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