Provider Information for 1902203649
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TRACIE DAHL LCPC
Sex: Female
NPI: 1902203649
Last Updated: 2023-06-25
Certification Date: 2023-06-25
Certification Date: 2023-06-25
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1902203649 | ||||||||
| Enumeration Date | 2014-11-24 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 816 GETCHELL ST HELENA, MT 59601-3314 United States Phone: 406-945-3639 | Fax: | ||||||||
| Primary Practice Address | 800 E 6TH AVE HELENA, MT 59601-4464 United States Phone: 406-945-3639 | Fax: | ||||||||
| Secondary Practice Address(es) | 50 N HOPI ST | ||||||||
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