Individual provider · Type 1 NPI

Tracy Porath, BSW

Mental Health Counselor · Shawano, WI

NPI number 1891180337 Active

Practice location

504 Lakeland Rd
Shawano, WI 54166-3836

Fax (715) 526-5542

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1891180337

Tracy Porath, BSW's National Provider Identifier is 1891180337, issued on Apr 1, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Shawano, WI. The record was last updated on Apr 22, 2015.