person
Tracy Denise Trump
Addiction (Substance Use Disorder) Counselor in Baker City, Oregon
NPI 1790143584

Tracy Denise Trump is an Addiction (Substance Use Disorder) Counselor based in Baker City, OR and is specialized in Addiction (Substance Use Disorder). Tracy Denise Trump practices in Baker City, OR. The NPI Number for Tracy Denise Trump is 1790143584 and holds a License No. 22-QMHA-R-2116 (Oregon).

The current practice location address for Tracy Denise Trump is 3700 Midway Dr, Baker City, OR and can be reached out via phone at 541-523-8320 and via fax at 541-523-8325.

Location: 3700 Midway Dr, Baker City, OR, 97814-1340
person
Provider Profile Details
NPI Number
1790143584
Provider Name
Tracy Denise Trump
Credential
Provider Entity Type
Individual
Gender
Female
Address
3700 Midway Dr, Baker City, OR, 97814-1340
Phone Number
541-523-8320
Fax Number
541-523-8325
Provider Enumeration Date
02/08/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5494176 01 OR ODL
institution
Provider Business Practice Location Address Details
Address
3700 Midway Dr
City
State
Zip
97814-1466
Phone Number
541-523-8320
Fax Number
541-523-8325
person
Provider Business Mailing Address Details
Address
3700 Midway Dr
City
State
Zip
97814-1466
Phone Number
541-523-8320
Fax Number
541-523-8325
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
12-P-10 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
22-QMHA-R-2116 (Oregon)
Definition
Definition to come...
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