Individual provider · Type 1 NPI

Tracy J. Longtine, LICENSED PROFESSIONA

Professional Counselor · Appleton, WI

NPI number 1770570434 Active

Practice location

1531 S Madison St
Appleton, WI 54915-1800

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X3279125 (WI)

Professional Counselor: Definition to come...

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About NPI 1770570434

Tracy J. Longtine, LICENSED PROFESSIONA's National Provider Identifier is 1770570434, issued on Sep 28, 2005. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Appleton, WI. The record was last updated on Jul 8, 2007.