Most Relevant Information
Provider Data
| NPI Number: | 1003429937 |
| Provider Name: | TRACI RENEE MANRY LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | LPC19276 |
Most Important Dates
| Enumeration Date: | 08/29/2020 |
| Last Updated: | 05/01/2023 |
Provider Practice Location
15396 N 83RD AVE STE G103
PEORIA
AZ
853815629
Practice Location Phone/Fax
| Phone: | 9257094044 |
| Fax: | 9257094044 |
Provider Mailing Location
15396 N 83RD AVE STE G103
PEORIA
AZ
853815629
Provider Mailing Phone/Fax
| Phone: | 9257094044 |
| Fax: | 4802474179 |