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Miss Tracy Ann Desruisseaux, LADC
Mental Health Counselor in Worcester, Massachusetts
NPI 1841524923

Tracy Ann Desruisseaux is a Mental Health Counselor based in Worcester, MA and is specialized in Mental Health. Tracy Ann Desruisseaux practices in Worcester, MA and has the professional credentials of LADC. The NPI Number for Tracy Ann Desruisseaux is 1841524923 and holds a License No. (Massachusetts).

The current practice location address for Tracy Ann Desruisseaux is 585 Lincoln St, Worcester, MA and can be reached out via phone at 508-831-0045.

Location: 585 Lincoln St, Worcester, MA, 01605-1906
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Provider Profile Details
NPI Number
1841524923
Provider Name
Tracy Ann Desruisseaux
Credential
LADC
Provider Entity Type
Individual
Gender
Female
Address
585 Lincoln St, Worcester, MA, 01605-1906
Phone Number
508-831-0045
Fax Number
Provider Enumeration Date
09/23/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1306421 05 MA
1308785 05 MA
22220002001 01 MA BLUE CROSS
M18684 01 MA BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
585 Lincoln St
City
State
Zip
01605-1906
Phone Number
508-831-0045
Fax Number
person
Provider Business Mailing Address Details
Address
585 Lincoln St
City
State
Zip
01605-1906
Phone Number
508-831-0045
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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