person
Mrs. Tracy Charisse Larson, MA
Mental Health Counselor in Hayward, Wisconsin
NPI 1578861498

Tracy Charisse Larson is a Mental Health Counselor based in Hayward, WI and is specialized in Mental Health. Tracy Charisse Larson practices in Hayward, WI and has the professional credentials of MA. The NPI Number for Tracy Charisse Larson is 1578861498 and holds a License No. (Wisconsin).

The current practice location address for Tracy Charisse Larson is 15655 County Rd B, Hayward, WI and can be reached out via phone at 715-634-0607 and via fax at 715-634-0617.

Location: 15655 County Rd B, Hayward, WI, 54843-3251
person
Provider Profile Details
NPI Number
1578861498
Provider Name
Tracy Charisse Larson
Credential
MA
Provider Entity Type
Individual
Gender
Female
Address
15655 County Rd B, Hayward, WI, 54843-3251
Phone Number
715-634-0607
Fax Number
715-634-0617
Provider Enumeration Date
03/01/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
751 - 226 01 WI PROFESSIONAL COUNSELOR TRAINING LICENSE
institution
Provider Business Practice Location Address Details
Address
15655 County Rd B
City
State
Zip
54843-3251
Phone Number
715-634-0607
Fax Number
715-634-0617
person
Provider Business Mailing Address Details
Address
15655 County Rd B
City
State
Zip
54843-3251
Phone Number
715-634-0607
Fax Number
715-634-0617
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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