Individual provider · Type 1 NPI

Tracy Wallette, M.A.

Community/Behavioral Health Agency · Crescent City, CA

NPI number 1306025978 Active

Practice location

370 9th St
Crescent City, CA 95531-3432

Call (707) 464-4349 Map

Fax (707) 464-4572

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1306025978

Tracy Wallette, M.A.'s National Provider Identifier is 1306025978, issued on Oct 30, 2007. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Crescent City, CA. The record was last updated on Oct 30, 2007.