Individual provider · Type 1 NPI

Tracey Lynn Colacicco, M.S.

Professional Counselor · Bend, OR

NPI number 1548423429 Active

Practice location

2577 NE Courtney Dr
Bend, OR 97701-7638

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Professional Counselor Primary 101YP2500XC4196 (OR)

Professional Counselor: Definition to come...

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About NPI 1548423429

Tracey Lynn Colacicco, M.S.'s National Provider Identifier is 1548423429, issued on Jul 9, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Bend, OR. The record was last updated on Jul 28, 2016.