TRACEY ANN KNICKERBOCKER NPI 1194254060

NPI Information

Tracey Ann Knickerbocker is a peer specialist in Sacramento, CA. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Tracey Ann Knickerbocker NPI is 1194254060. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3321 POWER INN RD STE 110
SACRAMENTO, CA
ZIP 95826-893
Phone: (916) 533-6067

The enumeration date for this NPI number is 6/5/2017 and was last updated on 6/5/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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