National Provider Identifier

Tracy Garrison, CASAC

Tracy Garrison, CASAC is listed in the NPPES registry with a primary specialty of Counselor in Kenmore, NY and a listed phone number of (716) 449-4839.

NPI 1144643974Kenmore, NYCounselor

Profile Overview

NPI
1144643974
Provider Type
Individual
Primary Specialty
Counselor
Enumeration Date
January 30, 2014
Last Updated
August 20, 2020

Practice Location

  • 262 Woodward Ave
  • Kenmore, NY 14217-1539

Phone: (716) 449-4839

Specialties

  • Counselor (101Y00000X)
Full Record
NPI
1144643974
Entity Type
Individual
Last Name
Garrison
First Name
Tracy
Credential
CASAC
Mailing Street Address
262 Woodward Ave
Mailing City
Kenmore
Mailing State
NY
Mailing ZIP Code
14217-1539
Mailing Country
US
Mailing Phone
(716) 439-4839
Practice Street Address
262 Woodward Ave
Practice City
Kenmore
Practice State
NY
Practice ZIP Code
14217-1539
Practice Country
US
Practice Phone
(716) 449-4839
Enumeration Date
January 30, 2014
Last Updated
August 20, 2020
Sex
Female
Sole Proprietor
No
Certification Date
August 20, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Counselor (101Y00000X)