TRACY PROVEAUX

Counselor - Addiction (Substance Use Disorder)

Active Individual
NPI: 1063142768

Practice Address

2711 COLONIAL DR
Columbia, SC 29203

Phone: (803) 726-9300

Specialties

Specialty Code Primary License
Counselor - Addiction (Substance Use Disorder) 101YA0400X Yes -

Frequently Asked Questions

NPI 1063142768 is the National Provider Identifier for TRACY PROVEAUX, a Counselor - Addiction (Substance Use Disorder) provider located in Columbia, SC. This NPI was enumerated on June 15, 2022.
TRACY PROVEAUX practices at 2711 COLONIAL DR, Columbia, SC 29203.

Quick Facts

NPI
1063142768
Type
Individual
Enumerated
Jun 15, 2022
Last Updated
Jun 15, 2022

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