Individual provider · Type 1 NPI
Tracy Tagaca, M.A., M.ED.
Mental Health Counselor · Kamuela, HI
NPI number
1407100100
Active
Practice location
67-1232 Koaliula Pl
Kamuela, HI 96743-8461
Mailing address
PO Box 6465
Kamuela, HI 96743-6465
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1407100100
Tracy Tagaca, M.A., M.ED.'s National Provider Identifier is 1407100100, issued on Nov 1, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Kamuela, HI. The record was last updated on Sep 25, 2014.