TRACIE HANSEN, B.S.

Peer Specialist

Active Individual
NPI: 1639779523

Practice Address

560 FAIRWAY DR
Pocatello, ID 83201

Phone: (208) 242-6669

Specialties

Specialty Code Primary License
Peer Specialist 175T00000X Yes CPSS055 (ID)

Frequently Asked Questions

NPI 1639779523 is the National Provider Identifier for TRACIE HANSEN, B.S., a Peer Specialist provider located in Pocatello, ID. This NPI was enumerated on October 29, 2020.
TRACIE HANSEN, B.S. practices at 560 FAIRWAY DR, Pocatello, ID 83201.

Quick Facts

NPI
1639779523
Type
Individual
Enumerated
Oct 29, 2020
Last Updated
Oct 14, 2025

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