Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELLEN MARIE TRACY, MFT
Active Sole ProprietorELLEN MARIE TRACY, MFT is a Marriage & Family Therapist healthcare provider located in KETCHUM, Idaho. NPI 1629290531 is currently active in the NPPES registry. Verify at CMS.
Marriage & Family Therapist · KETCHUM, ID
Registration Details
- NPI Number
- 1629290531
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 2, 2007 (19.24661132594 yrs)
- Last Updated
- Jul 8, 2007
- Licenses
-
LMFT-3837 (ID)MFC-30249 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
110 FIFTH STSTE. 103KETCHUM, ID, 83353Browse ID providers · Browse ZIP 83353
- Phone
- 2087207868
- Primary Specialty
-
Marriage & Family Therapist
106H00000X
- Additional Specialty
- Marriage & Family Therapist
Other Marriage & Family Therapist Providers in KETCHUM, ID
| Name | Credential | NPI |
|---|---|---|
| MRS. JANE ELLEN HENLEY | LMFT | 1912072307 |
| CATHERINE COX | LMFT | 1740731579 |
| KAREN BOMMENTRE | LMFT | 1790322451 |
| MADELINE MORTELL | MFT | 1356136410 |
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.