Individual provider · Type 1 NPI
Tracy Lee Eagle, MS
Professional Counselor · Saginaw, MI
NPI number
1689922585
Active
Practice location
4151 Shrestha Drive, Ste D
Saginaw, MI 48603-2190
Fax (989) 790-5027
Mailing address
96 E Gordonville Rd
Midland, MI 48640-8384
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
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About NPI 1689922585
Tracy Lee Eagle, MS's National Provider Identifier is 1689922585, issued on Aug 27, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Saginaw, MI. The record was last updated on May 30, 2024.