person
Tracy Rose Birmingham, LPC
Professional Counselor in Osceola, Arkansas
NPI 1609052596

Tracy Rose Birmingham is a Professional Counselor based in Jonesboro, AR and is specialized in Professional. Tracy Rose Birmingham practices in Osceola, AR and has the professional credentials of LPC. The NPI Number for Tracy Rose Birmingham is 1609052596 and holds a License No. (Arkansas).

The current practice location address for Tracy Rose Birmingham is 3201 W Keiser Ave, Osceola, AR and can be reached out via phone at 870-622-0592 and via fax at 870-336-1339.

Location: 3201 W Keiser Ave, Osceola, AR, 72405-7870
person
Provider Profile Details
NPI Number
1609052596
Provider Name
Tracy Rose Birmingham
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
3201 W Keiser Ave, Osceola, AR, 72405-7870
Phone Number
870-622-0592
Fax Number
870-336-1339
Provider Enumeration Date
01/10/2008
Last Update Date
12/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
173795795 05 AR
institution
Provider Business Practice Location Address Details
Address
3201 W Keiser Ave
City
State
Zip
72370-3467
Phone Number
870-622-0592
Fax Number
870-336-1339
person
Provider Business Mailing Address Details
Address
3201 W Keiser Ave
City
State
Zip
72370-3467
Phone Number
870-622-0592
Fax Number
870-336-1339
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
()
Definition
Definition to come...
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