TRACY LONGTINE, LICENSED PROFESSIONA

Counselor - Professional

Active Individual
NPI: 1770570434

Practice Address

1531 S MADISON ST
Appleton, WI 54915

Phone: (920) 730-4411

Specialties

Specialty Code Primary License
Counselor - Professional 101YP2500X Yes 3279125 (WI)

Frequently Asked Questions

NPI 1770570434 is the National Provider Identifier for TRACY LONGTINE, LICENSED PROFESSIONA, a Counselor - Professional provider located in Appleton, WI. This NPI was enumerated on September 28, 2005.
TRACY LONGTINE, LICENSED PROFESSIONA practices at 1531 S MADISON ST, Appleton, WI 54915.

Quick Facts

NPI
1770570434
Type
Individual
Enumerated
Sep 28, 2005
Last Updated
Jul 8, 2007

Nearby Providers