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Tracey Ann Knickerbocker
Peer Specialist in Sacramento, California
NPI 1194254060

Tracey Ann Knickerbocker is a Peer Specialist based in Sacramento, CA. Tracey Ann Knickerbocker practices in Sacramento, CA. The NPI Number for Tracey Ann Knickerbocker is 1194254060 and holds a License No. (California).

The current practice location address for Tracey Ann Knickerbocker is 3321 Power Inn Rd Ste 110, Sacramento, CA and can be reached out via phone at 916-533-6067.

Location: 3321 Power Inn Rd Ste 110, Sacramento, CA, 95826-3893
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Provider Profile Details
NPI Number
1194254060
Provider Name
Tracey Ann Knickerbocker
Credential
Provider Entity Type
Individual
Gender
Female
Address
3321 Power Inn Rd Ste 110, Sacramento, CA, 95826-3893
Phone Number
916-533-6067
Fax Number
Provider Enumeration Date
06/05/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3321 Power Inn Rd Ste 110
City
State
Zip
95826-3893
Phone Number
916-533-6067
Fax Number
person
Provider Business Mailing Address Details
Address
3321 Power Inn Rd Ste 110
City
State
Zip
95826-3893
Phone Number
916-533-6067
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
()
Definition
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.
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