Individual provider · Type 1 NPI
Tracy Ann Desruisseaux, LADC
Addiction (Substance Use Disorder) Counselor · Worcester, MA
NPI number
1841524923
Active
Practice location
585 Lincoln St
Worcester, MA 01605-1906
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
| Mental Health Counselor | 101YM0800X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
68 other providers at this address
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About NPI 1841524923
Tracy Ann Desruisseaux, LADC's National Provider Identifier is 1841524923, issued on Sep 23, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Worcester, MA. The record was last updated on Sep 23, 2009.