Ryan David Tracy, LCPC Valid NPI
Individual provider · Professional Counselor · Severna Park, MD
- NPI
- 1972158574
- Type
- Individual (Type 1)
- Primary specialty
- Professional Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YP2500X
- License number
- LC7319 (MD)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2019-08-09
- Last updated
- 2019-08-09
Practice location
819 Ritchie Hwy
Severna Park, MD 21146-4197
(410) 431-5111