MEDICARE: TRACI A MCFARLAND

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1770259970
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRACI A MCFARLAND

Provider Business Mailing Address
First Line	:	11661 PREST ST
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48227-2024
Country	:	US
Telephone Number	:	313-740-2901
Fax Number	:

Provider Business Practice Location Address
First Line	:	11661 PREST ST
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48227-2024
Country	:	US
Telephone Number	:	313-740-2901
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/18/2021
Last Update Date	:	08/18/2021

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Directions to “ TRACI A MCFARLAND ” Practice Location

Language	Start Address	Practice Location

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