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Individual
TRACEY RAE BISHOP
Active
Individual
TRACEY RAE BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
5655-125
WI
101YP2500X
Professional Counselor
Primary
CC000171
MN
Other
Enumeration date
07/21/2010
Last updated
01/21/2026
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