Individual provider · Type 1 NPI

Tracy Slack, MFTINTERN

Marriage & Family Therapist · Visalia, CA

NPI number 1669919338 Active

Practice location

1220 W Center Ave
Visalia, CA 93291-5911

Mailing address

PO Box 523
Lemoore, CA 93245-0523

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XIMF83896 (CA)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1669919338

Tracy Slack, MFTINTERN's National Provider Identifier is 1669919338, issued on Jan 19, 2017. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Visalia, CA. The record was last updated on Jan 19, 2017.