Tracy Delacruz, MFT TRAINEE

Individual provider Active NPI Mental Health Counselor · Dinuba, CA

NPI 1710274030 · NPPES record last updated Jul 7, 2011

Key facts

NPI
1710274030
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
144 S L St
Dinuba, CA 93618-2323
Phone
(559) 591-6680
Fax
(559) 591-6684
NPI assigned
Jul 7, 2011
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

144 S L St
Dinuba, CA 93618-2323

Mailing address

144 S L St
Dinuba, CA 93618-2323
Phone (559) 591-6680

Other providers in Dinuba, CA

All providers in Dinuba, CA · Mental Health Counselor in California

Sources for this page

Verify at the official NPI Registry.