Provider Demographics
NPI:1073661161
Name:LEE, TRACY LYNN (MS, NCC, LPC)
Entity type:Individual
Prefix:MS
First Name:TRACY
Middle Name:LYNN
Last Name:LEE
Suffix:
Gender:F
Credentials:MS, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 755
Mailing Address - Street 2:
Mailing Address - City:UNIONTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15401-0755
Mailing Address - Country:US
Mailing Address - Phone:724-430-1411
Mailing Address - Fax:724-430-0630
Practice Address - Street 1:23 S GALLATIN AVE
Practice Address - Street 2:SUITE #1
Practice Address - City:UNIONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15401-3541
Practice Address - Country:US
Practice Address - Phone:724-430-1411
Practice Address - Fax:724-430-0630
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2016-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC000740101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional