Individual provider · Type 1 NPI

Tracy Lynn Detty

Mental Health Counselor · Puyallup, WA

NPI number 1285069328 Active

Practice location

305 E Pioneer
Puyallup, WA 98372-3265

Call (253) 697-8452 Map

Fax (253) 697-3730

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Behavior Technician 106S00000XNone listed
Mental Health Counselor Primary 101YM0800XLH60915922 (WA)

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About NPI 1285069328

Tracy Lynn Detty's National Provider Identifier is 1285069328, issued on Sep 9, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Puyallup, WA. The record was last updated on May 21, 2021.