Tracey, Leslie

Tracey, Leslie is an individual health care provider with primary practice located at 109 N 4Th St Suite 201, Hamilton MT 59840-2401. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Tracey, Leslie can be contacted via phone (406) 370-5439.

Contact Information

Primary practice address
109 N 4Th St Suite 201 Hamilton MT 59840-2401
Phone: (406) 370-5439
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 1400 Montana

Profile Details

NPI number 1073747895
LBN Legal business name Tracey, Leslie
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2009
Last updated Aug 10th, 2016 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1073747895 NPPES
Montana MEDICAID 1477745370

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