TRACEY WISDOM, LCDC
Counselor - Addiction (Substance Use Disorder)
Active
Individual
NPI: 1174329262
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | Yes | - |
Frequently Asked Questions
NPI 1174329262 is the National Provider Identifier for TRACEY WISDOM, LCDC, a Counselor - Addiction (Substance Use Disorder) provider located in Longview, TX. This NPI was enumerated on February 20, 2025.
TRACEY WISDOM, LCDC practices at 201 PINE TREE RD, Longview, TX 75604.
Quick Facts
- NPI
- 1174329262
- Type
- Individual
- Enumerated
- Feb 20, 2025
- Last Updated
- Feb 20, 2025
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DR. MATTHEW VANDER WOUDE, D.O.
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DR. RUCKER MURRY, MD
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DR. KENNETH STILWELL, D.D.S.
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