TRACY WELLS


Address: 4690 Genesee Ave, San Diego, CA 92117-3031
Phone: 8582774633

TRACY WELLS (NPI# 1114134046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114134046
Entity Type Individual
Full Name TRACY WELLS
Credential CADC-II
Practice Address 4690 Genesee Ave
San Diego
CA 92117-3031
Mailing Address 13803 Pinkard Way Unit 14
El Cajon
CA 92021-1964
Practice Telephone 8582774633
Mailing Telephone 6199938716
Enumeration Date 2007-05-17
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
A2002205 CA Behavioral Health & Social Service Providers

Other Providers TRACY WELLS

NPI Name Taxonomy Address Enumeration
1285628289 Tracy C Wells Optometrist 4092 Austin Bluffs Pkwy, Colorado Springs, CO 80918-5905 2005-09-06
1811485766 Tracy Wells Occupational Therapist 46100 Schoenherr Rd, Shelby Township, MI 48315-5344 2018-04-26
1407299969 Tracy Wells Social Worker 2140 E Ellsworth Rd, Ann Arbor, MI 48108-2552 2013-04-15
1194069229 Tracy Leigh Wells Counselor 551 Cincinnati Batavia Pike, Cincinnati, OH 45244-1518 2012-11-15
1730309295 Tracy Mae Wells Counselor 1203 American Greeting Rd, Corbin, KY 40701-4811 2007-04-26

Office Location

Street Address 4690 GENESEE AVE
City SAN DIEGO
State CA
Zip Code 92117-3031

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083793145 Thomas L Hurst Dentist 4690 Genesee Ave, San Diego, CA 92117-3031 2006-11-02
1760738488 Stuart T. Tani Dds, A Dental Corp. Dentist 4690 Genesee Ave, Suite B, San Diego, CA 92117-3000 2012-07-31
1740569631 Allegiance Dental Inc Dentist 4690 Genesee Ave, Suite B, San Diego, CA 92117-3000 2011-08-09
1750528923 Bibiana Lizbeth Calderon Counselor 4690 Genesee Ave, San Diego, CA 92117-3000 2009-01-09
1104033026 Patrick Robert Foley Counselor 4690 Genesee Ave, San Diego, CA 92117-3031 2007-05-17
1700955002 Steven T Hurst Dentist 4690 Genesee Ave, San Diego, CA 92117-3031 2006-11-08
1871672956 Bridget M Hurst Dentist 4690 Genesee Ave, San Diego, CA 92117-3031 2006-11-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154956050 Enbara Corporation Dentist 5189 Clairmont Mesa Blvd, San Diego, CA 92117 2020-03-11
1568956050 Lourdes C Villagran Case Manager/Care Coordinator 4474 Charger Blvd, San Diego, CA 92117 2018-06-18
1750893509 Dzendzel Family Chiropractic Chiropractor 3650 Clairemont Drive, Ste 2, San Diego, CA 92117 2017-11-02
1205355401 Alan Ford Counselor 4150 Ute Dr., San Diego, CA 92117 2017-09-19
1780101238 Allison Dawn Heeney Occupational Therapist 3386 Hopi Place, San Diego, CA 92117 2017-08-25
1275074379 Rachel Gabrielle Packer Counselor 5252 Balboa Ave Ste 801, San Diego, CA 92117 2017-03-09
1316482995 Lisa Graff-marsh, Inc. Social Worker 4985 Park Rim Dr., San Diego, CA 92117 2017-01-05
1417408949 Markos and Markos 1 Inc Private Vehicle 4495 Clairemont Mesa Blvd, San Diego, CA 92117 2016-10-19
1801341813 Huynh and Habashi Dental Corporation Dentist 2995 Clairemont Dr, Suite A, San Diego, CA 92117 2016-08-19
1184076077 Tammy Monck Optometrist 3952 Clairemont Mesa Blvd Ste I, San Diego, CA 92117 2016-07-05
Find all providers in zip 92117

Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053910901 Eduardo Alberto Perez Counselor 8829 Dewsbury Ave, San Diego, CA 92126-2428 2020-10-21
1477166734 Laura Aida Andrade Counselor 4125 Wabash Ave, San Diego, CA 92104-2124 2020-08-26
1679113096 David Salvador Avalos Counselor 3642 Rosa Linda St, San Diego, CA 92154-3653 2020-01-14
1023651692 Robert Joseph Kassel Counselor 6551 Seaman St, San Diego, CA 92120-2629 2019-10-25
1609437979 Pamela Lynette Hill Counselor 3960 W Point Loma Blvd, San Diego, CA 92110-5643 2019-06-26
1154989838 Victoria Philips Counselor 4055 58th St Apt 10, San Diego, CA 92115-6209 2019-05-29
1740847375 Jessica Cristina Williams Counselor 1775 Elm Ave, San Diego, CA 92154-1104 2019-05-20
1659934164 Virginia Denise Mcswain Counselor 220 Euclid Ave Ste 200, San Diego, CA 92114-3644 2019-04-19
1386107324 Connie Padera Counselor 3148 Midway Dr # 113, San Diego, CA 92110-4539 2019-04-08
1154891067 Vincent Garside Counselor 2516 A Sreet, San Diego, CA 92102-9210 2018-12-04
Find all providers in SAN DIEGO

Competitor

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City SAN DIEGO
Zip Code 92117

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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