Individual provider · Type 1 NPI
Tracey Wisdom, LCDC
Addiction (Substance Use Disorder) Counselor · Longview, TX
NPI number
1174329262
Active
Practice location
201 Pine Tree Rd
Longview, TX 75604-4140
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
3 other providers at this address
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About NPI 1174329262
Tracey Wisdom, LCDC's National Provider Identifier is 1174329262, issued on Feb 20, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Longview, TX. The record was last updated on Feb 20, 2025.