Tracy J Longtine, LICENSEDPROFESSIONA
Tracy J Longtine, LICENSEDPROFESSIONA is a Professional Counselor in Appleton, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2005.
- Licensed in
- WI
- In the registry since
- 2005
Practice location Address checks out
1531 S Madison StAppleton, WI 54915-1800
Phone: (920) 730-4411
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Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X · Licence 3279125 (WI) |
|---|
Record details
| NPI number | 1770570434 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LICENSEDPROFESSIONA |
| Sole proprietor | No |
| NPI enumerated | September 28, 2005 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 1531 S Madison St, Appleton, WI 54915-1800 |
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