TRACEY LYNETTE WILSON NPI 1952062317

NPI Information

Tracey Lynette Wilson is a counselor in Fairfax, VA. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Tracey Lynette Wilson NPI is 1952062317. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3613 CHAIN BRIDGE RD STE D
FAIRFAX, VA
ZIP 22030-238
Phone: (703) 397-8163

The enumeration date for this NPI number is 1/6/2022 and was last updated on 1/6/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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