Individual provider · Type 1 NPI

Jacquelyn M. Tock, LPC

Professional Counselor · La Crosse, WI

NPI number 1194037275 Active

Practice location

1910 South Ave
La Crosse, WI 54601-5467

Mailing address

1836 South Ave
La Crosse, WI 54601-5429

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X15453 (WI)
Professional Counselor Primary 101YP2500X6401 (WI)

Professional Counselor: Definition to come...

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About NPI 1194037275

Jacquelyn M. Tock, LPC's National Provider Identifier is 1194037275, issued on Jul 6, 2010. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in La Crosse, WI. The record was last updated on Jan 3, 2024.