Tracey Lynn Abrego

Individual provider Active NPI Mental Health Counselor · Vancouver, WA

NPI 1497272686 · NPPES record last updated Aug 28, 2017

Key facts

NPI
1497272686
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
1601 E Fourth Plain Blvd BLDG 17
Vancouver, WA 98661-3717
Phone
(360) 397-8484
Fax
(360) 397-8494
NPI assigned
Aug 28, 2017
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Community Services Northwest Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

1601 E Fourth Plain Blvd BLDG 17
Vancouver, WA 98661-3717

Mailing address

PO Box 1845
Vancouver, WA 98668-1845
Phone (360) 397-8484

Other providers in Vancouver, WA

All providers in Vancouver, WA · Mental Health Counselor in Washington

Sources for this page

Verify at the official NPI Registry.