Individual provider · Type 1 NPI

Tracy Mickelson, CASAC

Addiction (Substance Use Disorder) Counselor · Elmira, NY

NPI number 1639785033 Active

About NPI 1639785033

Tracy Mickelson, CASAC's National Provider Identifier is 1639785033, issued on Sep 21, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Elmira, NY. The record was last updated on Sep 21, 2020.