Provider Demographics
NPI:1649929563
Name:GEER, TRACIE LOUISE (LMHC)
Entity type:Individual
Prefix:
First Name:TRACIE
Middle Name:LOUISE
Last Name:GEER
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 161
Mailing Address - Street 2:
Mailing Address - City:EPHRATA
Mailing Address - State:WA
Mailing Address - Zip Code:98823-0161
Mailing Address - Country:US
Mailing Address - Phone:509-237-2784
Mailing Address - Fax:
Practice Address - Street 1:612 3RD AVE SE
Practice Address - Street 2:
Practice Address - City:EPHRATA
Practice Address - State:WA
Practice Address - Zip Code:98823-2259
Practice Address - Country:US
Practice Address - Phone:509-237-2784
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-18
Last Update Date:2022-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60163858101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health