Individual
TRACY MARIE WEITZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
14750 LAC LAVON DR, BURNSVILLE, MN 55306-6398
(952) 248-2090
(952) 600-8009
Mailing address
14750 LAC LAVON DR, BURNSVILLE, MN 55306-6398
(952) 248-2090
(952) 600-8009
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
305481
MN
Other
Enumeration date
03/22/2024
Last updated
03/22/2024
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