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Tracy Ennis
Addiction (Substance Use Disorder) Counselor in Chandler, Arizona
NPI 1366028219

Tracy Ennis is an Addiction (Substance Use Disorder) Counselor based in Chandler, AZ and is specialized in Addiction (Substance Use Disorder). Tracy Ennis practices in Chandler, AZ. The NPI Number for Tracy Ennis is 1366028219 and holds a License No. (Arizona).

The current practice location address for Tracy Ennis is 908A W Chandler Blvd, Chandler, AZ and can be reached out via phone at 480-899-0200.

Location: 908A W Chandler Blvd, Chandler, AZ, 85225-4903
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366028219
Provider Name
Tracy Ennis
Credential
Provider Entity Type
Individual
Gender
Female
Address
908A W Chandler Blvd, Chandler, AZ, 85225-4903
Phone Number
480-899-0200
Fax Number
Provider Enumeration Date
03/22/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
908A W Chandler Blvd
City
Chandler
State
Arizona
Zip
85225-4903
Phone Number
480-899-0200
Fax Number
person
Provider Business Mailing Address Details
Address
908A W Chandler Blvd
City
Chandler
State
Arizona
Zip
85225-4903
Phone Number
480-899-0200
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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