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Tracy Doerr, LPCC/LADC
Mental Health Counselor in Coon Rapids, Minnesota
NPI 1194492025

Tracy Doerr is a Mental Health Counselor based in Coon Rapids, MN and is specialized in Mental Health. Tracy Doerr practices in Coon Rapids, MN and has the professional credentials of LPCC/LADC. The NPI Number for Tracy Doerr is 1194492025 and holds a License No. 303832 (Minnesota).

The current practice location address for Tracy Doerr is 10464 Hollywood Blvd Nw, Coon Rapids, MN and can be reached out via phone at 612-900-8934.

Location: 10464 Hollywood Blvd Nw, Coon Rapids, MN, 55433-4517
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194492025
Provider Name
Tracy Doerr
Credential
LPCC/LADC
Provider Entity Type
Individual
Gender
Male
Address
10464 Hollywood Blvd Nw, Coon Rapids, MN, 55433-4517
Phone Number
612-900-8934
Fax Number
Provider Enumeration Date
08/27/2021
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
N204188757206 05 MN
institution
Provider Business Practice Location Address Details
Address
10464 Hollywood Blvd Nw
City
Coon Rapids
State
Minnesota
Zip
55433-4517
Phone Number
612-900-8934
Fax Number
person
Provider Business Mailing Address Details
Address
10464 Hollywood Blvd Nw
City
Coon Rapids
State
Minnesota
Zip
55433-4517
Phone Number
612-900-8934
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
3801 (Minnesota)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
3801 (Minnesota)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
303832 (Minnesota)
Definition
Definition to come...
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