Healthcare Provider Details

I. General information

NPI: 1922538636
Provider Name (Legal Business Name): TRACI JEANETTE NAVARA AMFT, CATC-IV
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2017
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

735 STATE ST STE 527
SANTA BARBARA CA
93101-5554
US

IV. Provider business mailing address

27 W ANAPAMU ST STE 162
SANTA BARBARA CA
93101-3107
US

V. Phone/Fax

Practice location:
  • Phone: 805-403-3229
  • Fax:
Mailing address:
  • Phone: 805-837-9637
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number155459
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number2111507
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: