Tagaca, Tracy

Tagaca, Tracy is an sole proprietor health care provider with primary practice located at 67-1232 Koaliula Pl , Kamuela HI 96743-8461. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Tagaca, Tracy can be contacted via phone (808) 756-5696.

Contact Information

Primary practice address
67-1232 Koaliula Pl Kamuela HI 96743-8461
Fax:
Website:

Health care specialties

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

Profile Details

NPI number 1407100100
LBN Legal business name Tagaca, Tracy
Credentials M.A., M.ED.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 1st, 2012
Last updated Sep 25th, 2014 - 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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