Tracy Peterson, LPC

NPI #1134136419 in Wausau, Wisconsin

Provider Information

NPI Number: 1134136419
Entity Type: Individual
Name: Tracy Peterson, LPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: LPC
Enumeration Date: Aug 1, 2006
Last Updated: Sep 4, 2007

Practice Location

Address: 614 N 3RD AVE
City: Wausau
State: Wisconsin
ZIP Code: 54401-2913
Phone: (715) 848-3031

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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