Kelly, Tracy Susan

Kelly, Tracy Susan is an sole proprietor health care provider with primary practice located at 505 S Arlington Ave Ste 212-D , Reno NV 89509-1527. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Kelly, Tracy Susan can be contacted via phone (775) 742-7764.

Contact Information

Primary practice address
505 S Arlington Ave Ste 212-D Reno NV 89509-1527
Phone: (775) 742-7764
Fax: (775) 622-4509
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X Nevada
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X Nevada

Profile Details

NPI number 1982948725
LBN Legal business name Kelly, Tracy Susan
Credentials M.A. MFT INTERN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 17th, 2012
Last updated Nov 19th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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