Lookup NPI Numbers from the NPI Registry
NPI Profile for TRACY GILLOCK in ALBUQUERQUE, NM.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction (Substance Use Disorder) |
101YA0400X | |||
Community Health Worker |
172V00000X | |||
Other Service Providers |
175T00000X |
| NPI # | 1407678659 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 10/29/2024 | |
| Last updated | 05/22/2026 - About 2 weeks ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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TRACY GILLOCK
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TRACY GILLOCK