Tracy Lee Blair, BA
Individual provider Active NPI Counselor · Reno, NV
NPI 1659565141 · NPPES record last updated Aug 28, 2007
Key facts
- NPI
- 1659565141
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 3500 Lakeside CT
Ste. 101
Reno, NV 89509-4829 - Phone
- (775) 786-6880
- NPI assigned
- Aug 28, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor of Arts
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
3500 Lakeside CT
Ste. 101
Reno, NV 89509-4829
Mailing address
3500 Lakeside CT
Ste. 101
Reno, NV 89509-4829
Phone (775) 786-6880
Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.