Individual provider · Type 1 NPI
Michelle Tracy, LMFT
Marriage & Family Therapist · North San Juan, CA
Practice location
18262 Slide Mine Rd
North San Juan, CA 95960
Mailing address
673 S Auburn St Ste B
Grass Valley, CA 95945-7576
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist | 106H00000X | 82311 (CA) |
| Marriage & Family Therapist Primary | 106H00000X | 106343 (CA) |
Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…
About NPI 1124455316
Michelle Tracy, LMFT's National Provider Identifier is 1124455316, issued on Oct 2, 2013. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in North San Juan, CA. The record was last updated on May 18, 2018.