Individual
MS. TRACY YVONNE BRINKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1406 8TH STREET, PORT HURON, MI 48060
(810) 987-1258
Mailing address
1327 GILLETT ST, PORT HURON, MI 48060-5109
(810) 887-8211
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/13/2015
Last updated
07/13/2015
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