Individual
TRACY M BAUSTERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 E HWY 66, EL RENO, OKLAHOMA, OK 73036
(405) 226-1798
Mailing address
17250 N SHEPARD AVE, OKARCHE, OK 73762-2058
(405) 226-1798
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
OK
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
07/19/2019
Last updated
03/24/2023
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