Tracy Slack, MFTintern
Marriage & Family Therapist in Visalia, CA. Individual provider (NPI-1).
NPI number1669919338
StatusActive
Last updated in NPPESJan 19, 2017
Details
- NPI
- 1669919338
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Tracy Slack
- Credential
- MFTintern
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 19, 2017
- Last updated
- Jan 19, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | IMF83896 | CA | Yes |
Practice location
1220 W Center AveVisalia, CA 93291-5911
Phone 559-280-5756
Mailing address
Po Box 523Lemoore, CA 93245-0523
Phone 559-817-7934
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 283 Marriage & Family Therapist providers in Visalia · All 5,100 providers in Visalia
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