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Tracy Lee Mattingly-miller, LPCC,NCC
Professional Counselor in Richmond, Kentucky
NPI 1790159002

Tracy Lee Mattingly-miller is a Professional Counselor based in London, KY and is specialized in Professional. Tracy Lee Mattingly-miller practices in Richmond, KY and has the professional credentials of LPCC,NCC. The NPI Number for Tracy Lee Mattingly-miller is 1790159002 and holds a License No. 1205 (Kentucky).

The current practice location address for Tracy Lee Mattingly-miller is 1421 Lexington Rd, Richmond, KY and can be reached out via phone at 859-624-2454 and via fax at 859-624-2454.

Location: 1421 Lexington Rd, Richmond, KY, 40744-7204
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Provider Profile Details
NPI Number
1790159002
Provider Name
Tracy Lee Mattingly-miller
Credential
LPCC,NCC
Provider Entity Type
Individual
Gender
Female
Address
1421 Lexington Rd, Richmond, KY, 40744-7204
Phone Number
859-624-2454
Fax Number
859-624-2454
Provider Enumeration Date
11/24/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000991124 01 ANTHEM PIN
institution
Provider Business Practice Location Address Details
Address
1421 Lexington Rd
City
State
Zip
40475-1059
Phone Number
859-624-2454
Fax Number
859-624-2454
person
Provider Business Mailing Address Details
Address
1421 Lexington Rd
City
State
Zip
40475-1059
Phone Number
859-624-2454
Fax Number
859-624-2454
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
1205 (Kentucky)
Definition
Definition to come...
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