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Ms. Tracy Lou Klucina, LCAS
Addiction (Substance Use Disorder) Counselor in Charlotte, North Carolina
NPI 1184761520

Tracy Lou Klucina is an Addiction (Substance Use Disorder) Counselor based in Charlotte, NC and is specialized in Addiction (Substance Use Disorder). Tracy Lou Klucina practices in Charlotte, NC and has the professional credentials of LCAS. The NPI Number for Tracy Lou Klucina is 1184761520 and holds a License No. 944 (North Carolina).

The current practice location address for Tracy Lou Klucina is 3430 Wheatley Ave, Charlotte, NC and can be reached out via phone at 704-591-2026 and via fax at 704-336-6559.

Location: 3430 Wheatley Ave, Charlotte, NC, 28205-7654
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Provider Profile Details
NPI Number
1184761520
Provider Name
Tracy Lou Klucina
Credential
LCAS
Provider Entity Type
Individual
Gender
Female
Address
3430 Wheatley Ave, Charlotte, NC, 28205-7654
Phone Number
704-591-2026
Fax Number
704-336-6559
Provider Enumeration Date
02/01/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6111873 05 NC
institution
Provider Business Practice Location Address Details
Address
3430 Wheatley Ave
City
State
Zip
28205-7654
Phone Number
704-591-2026
Fax Number
704-336-6559
person
Provider Business Mailing Address Details
Address
3430 Wheatley Ave
City
State
Zip
28205-7654
Phone Number
704-591-2026
Fax Number
704-336-6559
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
944 (North Carolina)
Definition
Definition to come...
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