NPI 1013516541

Tracy Hiatt, EDSPPC

Practitioner Professional Counselor Jackson, WY

Practice location

Address: 125 E Pearl Ave STE B005, Jackson, WY 83001-8599
Phone: (307) 264-0161
Mailing address: PO Box 2089, Jackson, WY 83001-2089

Registered specialties

Professional Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence PPC-1214 (WY)

Other Counselor providers in Wyoming →

Registry record

NPI: 1013516541
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Oct 2020
Record last updated: 26 Oct 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.