| Richard Harvey Tracy, LICSW | |
|
215 Milky Way Street South, Cosmos, MN 56228 | |
| (320) 877-7220 | |
| (320) 877-7479 |
| Full Name | Richard Harvey Tracy |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 215 Milky Way Street South, Cosmos, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295982338 | NPI | - | NPPES |
| 274557000 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 8638 (Minnesota) | Primary |
| 101YP2500X | Counselor - Professional | 8638 (Minnesota) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Harvey Tracy, LICSW 215 Milky Way Street South, Cosmos, MN 56228 Ph: (320) 877-7220 | Richard Harvey Tracy, LICSW 215 Milky Way Street South, Cosmos, MN 56228 Ph: (320) 877-7220 |
Ms. Michelle Mcdonald, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 320 Saturn St N, Cosmos, MN 56228 Phone: 320-877-7074 | |
Rebecca Ann Reichard, Counselor Medicare: Medicare Enrolled Practice Location: 215 Milky Way Street South, Cosmos, MN 56288 Phone: 320-877-7220 Fax: 320-877-7479 |