TRACIE LYN HANSEN B.S. NPI 1639779523

NPI Information

Tracie Lyn Hansen, B.S. is a peer specialist in Pocatello, ID. 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. Tracie Lyn Hansen, B.S. NPI is 1639779523. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

560 FAIRWAY DR
POCATELLO, ID
ZIP 83201-012
Phone: (208) 242-6669

The enumeration date for this NPI number is 10/29/2020 and was last updated on 4/10/2023.

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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