person
Tracy Mickelson, CASAC
Addiction (Substance Use Disorder) Counselor in Elmira, New York
NPI 1639785033

Tracy Mickelson is an Addiction (Substance Use Disorder) Counselor based in Elmira, NY and is specialized in Addiction (Substance Use Disorder). Tracy Mickelson practices in Elmira, NY and has the professional credentials of CASAC. The NPI Number for Tracy Mickelson is 1639785033 and holds a License No. (New York).

The current practice location address for Tracy Mickelson is 1149 Sullivan St Ste B, Elmira, NY and can be reached out via phone at 607-733-7661 and via fax at 607-733-7675. You can also correspond with Tracy Mickelson through the mailing address at 1149 SULLIVAN ST STE B, ELMIRA, NY - 14901-1670 (mailing address contact number: 607-733-7661).

Location: 1149 Sullivan St Ste B, Elmira, NY, 14901-1670
person
Provider Profile Details
NPI Number
1639785033
Provider Name
Tracy Mickelson
Credential
CASAC
Provider Entity Type
Individual
Gender
Male
Address
1149 Sullivan St Ste B, Elmira, NY, 14901-1670
Phone Number
607-733-7661
Fax Number
607-733-7675
Provider Enumeration Date
09/21/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1149 Sullivan St Ste B
City
State
Zip
14901-1670
Phone Number
607-733-7661
Fax Number
607-733-7675
person
Provider Business Mailing Address Details
Address
1149 Sullivan St Ste B
City
State
Zip
14901-1670
Phone Number
607-733-7661
Fax Number
607-733-7675
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
(New York)
Definition
Definition to come...
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