person
Tracy Porath, BSW
Mental Health Counselor in Shawano, Wisconsin
NPI 1891180337

Tracy Porath is a Mental Health Counselor based in Shawano, WI and is specialized in Mental Health. Tracy Porath practices in Shawano, WI and has the professional credentials of BSW. The NPI Number for Tracy Porath is 1891180337 and holds a License No. (Wisconsin).

The current practice location address for Tracy Porath is 504 Lakeland Rd, Shawano, WI and can be reached out via phone at 715-526-4751 and via fax at 715-526-5542.

Location: 504 Lakeland Rd, Shawano, WI, 54166-3836
person
Provider Profile Details
NPI Number
1891180337
Provider Name
Tracy Porath
Credential
BSW
Provider Entity Type
Individual
Gender
Female
Address
504 Lakeland Rd, Shawano, WI, 54166-3836
Phone Number
715-526-4751
Fax Number
715-526-5542
Provider Enumeration Date
04/01/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
504 Lakeland Rd
City
State
Zip
54166-3836
Phone Number
715-526-4751
Fax Number
715-526-5542
person
Provider Business Mailing Address Details
Address
504 Lakeland Rd
City
State
Zip
54166-3836
Phone Number
715-526-4751
Fax Number
715-526-5542
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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