Tracey Bazemore, LPC Valid NPI

Individual provider · Professional Counselor · Hinesville, GA

NPI

1245614916

Type

Individual (Type 1)

Primary specialty

Professional Counselor (Counselor)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

101YP2500X

License number

LPC003735 (GA)

Sex

Female

Sole proprietor

No

Enumerated

2015-07-13

Last updated

2015-07-13