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General NPI Number Information
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NPI Number | 1740615707
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Entity Type | Individual
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Provider Name | TRACYLEE CICERO MA, LPC
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Gender | Female
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Dates
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Enumeration Date | 09/10/2013
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Last Update Date | 01/19/2026
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Provider Practice Location Address
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Address Line | 2740 NC 55 HWY # 210
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City | CARY
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State | NC
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Zip | 27519-6209
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Country | US
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Telephone | 919-888-9158
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Fax |
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Provider Business Mailing Address
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Address Line | 4805 SALEM RIDGE RD
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City | HOLLY SPRINGS
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State | NC
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Zip | 27540-9160
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Country | US
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Telephone | 919-219-9074
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 7896
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License Number State | NC
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