Female

Tracie M. Powney OTRL, LMHC, LMFTA

Mental Health Counselor in Olympia, WA(View on Map)

Full Name

Tracie Michelle Powney OTRL, LMHC, LMFTA

NPI Number

1871794891

NPI Type

Individual Provider

Gender

Female

Enumeration Date

05/29/2007

Specialties

(Taxonomies)

Code

101YM0800X
101Y00000X
106H00000X
225XM0800X
225X00000X
174400000X

Primary Taxonomy

Yes
No
No
No
No
No

Licenses

State

Washington
Washington
Washington
Washington
Washington

License Number

LH60724718
MC 60556138
MG 60565629
OT 00003125
OT00003125

Contact
Information

Purpose

Mailing
Location

Address

4414 9TH AVE NW
1107 W BAY DR NW

City

Olympia
Olympia

State

WA
WA

Postal Code

98502-4015
98502-4668

Country

US
US

Telephone Number

(360) 791-9336
(360) 791-9336

Identifiers

Identifier

8341315

Identifier State

WA

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 01/11/2017

Provider Address

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