Carson, Tracey

Carson, Tracey is an individual health care provider with primary practice located at 300 S C St , Tustin CA 92780-3633. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Carson, Tracey can be contacted via phone (714) 730-7301.

Contact Information

Primary practice address
300 S C St Tustin CA 92780-3633
Phone: (714) 730-7301
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1316058290
LBN Legal business name Carson, Tracey
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jun 5th, 2019 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1316058290 NPPES
California Other 52101 BBS

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