Gereau, Tracy Lynn

Gereau, Tracy Lynn is an individual health care provider with primary practice located at 120 W Hawthorne St , Fallbrook CA 92028-2053. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Gereau, Tracy Lynn can be contacted via phone (760) 731-3235.

Contact Information

Primary practice address
120 W Hawthorne St Fallbrook CA 92028-2053
Phone: (760) 731-3235
Fax: (760) 731-4950
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X IMF38751 California

Profile Details

NPI number 1366574980
LBN Legal business name Gereau, Tracy Lynn
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2007
Last updated Jul 8th, 2007 - about 17 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 1366574980 NPPES
California Other 6770 MEDICAL STAFF NUMBER

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