Individual provider · Type 1 NPI
Tracy Doerr, LPCC/LADC
Mental Health Counselor · Coon Rapids, MN
NPI number
1194492025
Active
Practice location
10464 Hollywood Blvd NW
Coon Rapids, MN 55433-4517
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 303832 (MN) |
| Professional Counselor | 101YP2500X | 3801 (MN) |
| Mental Health Counselor Primary | 101YM0800X | 3801 (MN) |
Mental Health Counselor: Definition to come...
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About NPI 1194492025
Tracy Doerr, LPCC/LADC's National Provider Identifier is 1194492025, issued on Aug 27, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Coon Rapids, MN. The record was last updated on Feb 20, 2024.