Garcia, Tracey E

Garcia, Tracey E is an individual health care provider with primary practice located at 2010 Industrial Park Rd , Espanola NM 87532-3600. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Garcia, Tracey E can be contacted via phone (505) 753-7395.

Contact Information

Primary practice address
2010 Industrial Park Rd Espanola NM 87532-3600
Fax: (505) 753-8373
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X M-05191 New Mexico
Behavioral Health & Social Service Providers / Clinical 1041C0700X I-06990 New Mexico

Profile Details

NPI number 1003025198
LBN Legal business name Garcia, Tracey E
Credentials L.M.S.W.
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2007
Last updated May 13th, 2015 - about 10 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 1003025198 NPPES
New Mexico MEDICAID 89109554

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