Individual
TRACI H REGIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
4960 FIELD CREST LN, EAU CLAIRE, WI 54701-1106
(612) 424-9940
Mailing address
4960 FIELD CREST LN, EAU CLAIRE, WI 54701-1106
(612) 424-9940
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15445-131
WI
101YP2500X
Professional Counselor
Primary
4464-125
WI
Other
Enumeration date
08/27/2009
Last updated
05/09/2024
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