Tracy Kristalakis's National Provider Identifier (NPI) Details
Tracy Kristalakis, LPC
NPI: 1659690378
Enumeration Date: 2010-05-19
Last updated: 2010-05-19
Sole Proprietor: YES
Status: active
Postal Address: 1393 CONESTOGA TRL, MACON, GA
Phone: 478-731-3909
Primary Practice Address: 4100 RIVERSIDE DR, MACON, GA
Practice's phone: 478-731-3909