Page, Traci

Page, Traci is an sole proprietor health care provider with primary practice located at 200 5Th St Nw Ste E , Elk River MN 55330-5711. 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 / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Page, Traci can be contacted via phone (763) 458-2967.

Contact Information

Primary practice address
200 5Th St Nw Ste E Elk River MN 55330-5711
Phone: (763) 458-2967
Fax: (763) 260-5150
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 303916 Minnesota
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0311 Minnesota

Profile Details

NPI number 1346659307
LBN Legal business name Page, Traci
Credentials MA LPCC LADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 4th, 2014
Last updated Dec 27th, 2023 - about 2 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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