Klasing, Traci Lynn

Klasing, Traci Lynn is an individual health care provider with primary practice located at 2460 Delaney Ave , Wilmington NC 28403-6062. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Klasing, Traci Lynn can be contacted via phone (816) 726-7378.

Contact Information

Primary practice address
2460 Delaney Ave Wilmington NC 28403-6062
Phone: (816) 726-7378
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 2001033815 Missouri
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 15984 North Carolina

Profile Details

NPI number 1871644229
LBN Legal business name Klasing, Traci Lynn
Credentials LPC, LCMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 14th, 2007
Last updated Jan 24th, 2023 - about last year

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 1871644229 NPPES
Missouri MEDICAID 490865409

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