Individual
TRACY BEESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
212 S 11TH ST STE 4B, COEUR D ALENE, ID 83814-4000
(509) 578-0839
Mailing address
212 S 11TH ST STE 4B, COEUR D ALENE, ID 83814-4000
(509) 578-0839
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/28/2025
Last updated
04/28/2025
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