Individual
STACY L TRINASTIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3900 W BROWN DEER RD, #200, BROWN DEER, WI 53209-1220
(414) 540-2170
(414) 540-2171
Mailing address
19167 W MAIN ST, LANNON, WI 53046-9701
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16059-130
WI
101YP2500X
Professional Counselor
Primary
5424-125
WI
Other
Enumeration date
04/11/2011
Last updated
09/17/2014
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