Individual provider · Type 1 NPI

Tracy Denise Trump

Addiction (Substance Use Disorder) Counselor · Baker City, OR

NPI number 1790143584 Active

Practice location

3700 Midway Dr
Baker City, OR 97814-1466

Fax (541) 523-8325

Mailing address

3425 13th St
Baker City, OR 97814-1340

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X22-QMHA-R-2116 (OR)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X12-P-10 (OR)
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1790143584

Tracy Denise Trump's National Provider Identifier is 1790143584, issued on Feb 8, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Baker City, OR. The record was last updated on Nov 23, 2022.