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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TRACY WALLETTE, M.A.

Active Sole Proprietor

TRACY WALLETTE, M.A. is a Community/Behavioral Health healthcare provider located in CRESCENT CITY, California. NPI 1306025978 is currently active in the NPPES registry. Verify at CMS.

Community/Behavioral Health · CRESCENT CITY, CA

Registration Details

NPI Number
1306025978
Provider Type
Individual
Gender
Female
NPI Issued
Oct 30, 2007 (18.786610915327 yrs)
Last Updated
Oct 30, 2007
Sole Proprietor
Yes

Practice Information

Address
370 9TH ST
CRESCENT CITY, CA, 955313432
Browse CA providers · Browse ZIP 95531
Phone
7074644349
Fax
7074644572
Primary Specialty
Community/Behavioral Health
251S00000X

Other Community/Behavioral Health Providers in CRESCENT CITY, CA

Name Credential NPI
SHERRY MARIE LATHAM A.A./PSYC TECH 1043499619
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.