Tracy Mickelson, CASAC
Tracy Mickelson, CASAC is an Addiction (Substance Use Disorder) Counselor in Elmira, New York. Licensed in New York. Registered with an NPI since 2020.
- Licensed in
- NY
- In the registry since
- 2020
Practice location Address checks out
1149 Sullivan St Ste BElmira, NY 14901-1670
Phone: (607) 733-7661
Fax: (607) 733-7675
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X (NY) |
|---|
Record details
| NPI number | 1639785033 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CASAC |
| Sole proprietor | No |
| NPI enumerated | September 21, 2020 |
| Last updated in NPPES | September 21, 2020 |
| Certification date | September 21, 2020 |
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Mr. James Dempsey, CASAC
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