Provider Demographics
NPI:1942482211
Name:HILLION, TRACCIE ELLEN (MA CSLR)
Entity Type:Individual
Prefix:MS
First Name:TRACCIE
Middle Name:ELLEN
Last Name:HILLION
Suffix:
Gender:F
Credentials:MA CSLR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:557 FEDERAL ST
Mailing Address - Street 2:
Mailing Address - City:BELCHERTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:01007-9756
Mailing Address - Country:US
Mailing Address - Phone:413-330-8330
Mailing Address - Fax:
Practice Address - Street 1:1 MAIN ST STE 201
Practice Address - Street 2:
Practice Address - City:BELCHERTOWN
Practice Address - State:MA
Practice Address - Zip Code:01007-8815
Practice Address - Country:US
Practice Address - Phone:134-330-8330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-28
Last Update Date:2020-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health