Individual
TRACY LYNN SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
723 5TH AVE E UNIT B14, KALISPELL, MT 59901-5321
(406) 351-6334
(406) 300-0426
Mailing address
723 5TH AVE E UNIT B14, KALISPELL, MT 59901-5321
(406) 351-6334
(406) 300-0426
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
BBH-LCPC-LIC-18990
MT
Other
Enumeration date
09/01/2020
Last updated
08/22/2024
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