Individual provider · Type 1 NPI
Tracy Fey Blackstone, MS, CRC, LPC, ASDCS
Professional Counselor · Fitchburg, WI
NPI number
1790448173
Active
Practice location
2940 Chapel Valley Rd Ste 2
Fitchburg, WI 53711-6451
Mailing address
901 S Whitney Way
Madison, WI 53711-2553
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Rehabilitation Counselor | 225C00000X | None listed |
| Professional Counselor Primary | 101YP2500X | 10458125 (WI) |
Professional Counselor: Definition to come...
3 other providers at this address
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About NPI 1790448173
Tracy Fey Blackstone, MS, CRC, LPC, ASDCS's National Provider Identifier is 1790448173, issued on Oct 21, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fitchburg, WI. The record was last updated on Mar 28, 2024.