Brautigan, Traci Jean

Brautigan, Traci Jean is an sole proprietor health care provider with primary practice located at 102 Old Solomons Island Rd Ste 202 , Annapolis MD 21401-3879. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Brautigan, Traci Jean can be contacted via phone (410) 266-3058.

Contact Information

Primary practice address
102 Old Solomons Island Rd Ste 202 Annapolis MD 21401-3879
Phone: (410) 266-3058
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LGA2763 Maryland
Behavioral Health & Social Service Providers / Clinical 1041C0700X 24099 Maryland

Profile Details

NPI number 1528608734
LBN Legal business name Brautigan, Traci Jean
Credentials LMSW, LGADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 15th, 2020
Last updated Jan 15th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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