Tracie Johnson, LLC
NPI #1013439579 in Spearfish, South Dakota
Provider Information
- NPI Number
- 1013439579
- Entity Type
- Organization
- Organization Name
- Tracie Johnson, LLC
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Jul 16, 2017
- Last Updated
- Sep 29, 2020
Practice Location
- Address
- 211 N MAIN ST STE 203
- City
- Spearfish
- State
- South Dakota
- ZIP Code
- 57783-2646
- Phone
- (605) 641-7534
Authorized Official
- Name
- TRACIE BREN-CLEGG, LPC-MH
- Title
- OWNER / CEO
- Phone
- (605) 641-7534
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
| Counselor - Professional — Professional |
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