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Individual

TRACY L SCHIESSER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MAC, LPC, SAC-IT

Contact information

Practice address
300 CROOKS ST, GREEN BAY, WI 54301-4527
(920) 436-6800
(920) 432-5966
Mailing address
PO BOX 22308, GREEN BAY, WI 54305-2308
(920) 436-6800
(920) 432-5966

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
20394
WI
101YP2500X
Professional Counselor
Primary
12487
WI
101YP2500X
Professional Counselor
Primary
7612
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12487
STATE LICENSE
WI
01
20394
STATE OF WISCONSIN DSPS
WI
01
7612
STATE OF WISCONSIN DSPS
WI
Enumeration date
10/05/2023
Last updated
04/09/2026
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