Tracy Lea Martin is a Counselor in Wagoner, Oklahoma. Tracy Lea Martin practices all healthcare services and medical treatments related to Counselor. The NPI Number for Tracy Lea Martin is 1053531855. The last update date is 2007-09-13.
Tracy Lea Martin's current location address is 109 S Harrill, Wagoner, Oklahoma. You can contact this provider via phone number 9184853554 and fax number 9184858371. The mailing address for Tracy Lea Martin is 109 S Harrill, Wagoner, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracy Lea Martin |
|---|---|
| Address | 109 S Harrill, Wagoner, Oklahoma |
| Phone Number | 9184853554 |
| Fax Number | 9184858371 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1053531855 |
|---|---|
| Provider Enumeration Date | 2007-04-26 |
| Last Updated Date | 2007-09-13 |
Provider Mailing Address Detail
| Address | 109 S Harrill |
|---|---|
| City | Wagoner |
| State | Oklahoma (OK) |
| Post Code | 74467 |
| Phone Number | 9184853554 |
| Fax Number | 9184858371 |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
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Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe |
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What is the unique identifier code issued to Tracy Lea Martin by the Centers for Medicare & Medicaid Services?
The Tracy Lea Martin has been assigned the NPI (National Provider Identifier) 1053531855. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Tracy Lea Martin located?
The Tracy Lea Martin is located at 109 S Harrill, Wagoner, OK 74467.
What is Tracy Lea Martin's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Tracy Lea Martin is Counselor, and the taxonomy classification code that categorizes this area of expertise is 101Y00000X.
On what date did the Tracy Lea Martin receive its 1053531855 assignment from the Centers for Medicare & Medicaid Services?
The Tracy Lea Martin was assigned its 1053531855 by the Centers for Medicare & Medicaid Services on 2007-04-26.
When was the information related to Tracy Lea Martin most recently updated or refreshed?
The details pertaining to the Tracy Lea Martin, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-09-13.