White, Tracey Lynn
White, Tracey Lynn is an sole proprietor health care provider with primary practice located at 2290 W Prairie Ave , Coeur D Alene ID 83815-8424. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. White, Tracey Lynn can be contacted via phone (207) 772-7994.Contact Information
Primary practice address
2290 W Prairie Ave
Coeur D Alene ID 83815-8424
Phone: (207) 772-7994
Fax: (208) 772-5916
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 1234 | Alaska |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 38434 | Idaho |
Profile Details
| NPI number | 1134555782 |
|---|---|
| LBN Legal business name | White, Tracey Lynn |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 15th, 2013 |
| Last updated | Feb 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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