Individual
TRACI TUSHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NCC, CCDC II
Contact information
Practice address
350 ELK ST, RAPID CITY, SD 57701-7351
(605) 343-7262
Mailing address
303 E SUMMIT ST, LEAD, SD 57754-2132
(605) 343-7262
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/12/2008
Last updated
05/12/2008
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