Van Etten, Tracey Diane

Van Etten, Tracey Diane is an sole proprietor health care provider with primary practice located at 21030 Mission St Ste B , Tehachapi CA 93561-6769. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Van Etten, Tracey Diane can be contacted via phone (661) 748-4767.

Contact Information

Primary practice address
21030 Mission St Ste B Tehachapi CA 93561-6769
Phone: (661) 748-4767
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 109289 California

Profile Details

NPI number 1801311576
LBN Legal business name Van Etten, Tracey Diane
Credentials MS, AMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 3rd, 2017
Last updated Jul 21st, 2022 - about 4 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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