Individual provider · Type 1 NPI
Tracie Self
Mental Health Counselor · Aplington, IA
NPI number
1154624955
Active
Practice location
809 Gray St
Aplington, IA 50604-1030
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 001281 (IA) |
Mental Health Counselor: Definition to come...
About NPI 1154624955
Tracie Self's National Provider Identifier is 1154624955, issued on Dec 16, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Aplington, IA. The record was last updated on Dec 16, 2010.