Small, Tracy

Small, Tracy is an individual health care provider with primary practice located at 12625 Hesperia Rd , Victorville CA 92395-7720. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Small, Tracy can be contacted via phone (760) 995-8385.

Contact Information

Primary practice address
12625 Hesperia Rd Victorville CA 92395-7720
Phone: (760) 995-8385
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X

Profile Details

NPI number 1730564717
LBN Legal business name Small, Tracy
Credentials AMFT APCC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2015
Last updated Sep 26th, 2024 - about 2 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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