Individual
TRACI L BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
W6240 COMMUNICATION CT STE 2, APPLETON, WI 54914-8549
(920) 364-0747
Mailing address
W6240 COMMUNICATION CT STE 2, APPLETON, WI 54914-8549
(920) 364-0747
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4053
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40930300
—
WI
Enumeration date
06/02/2009
Last updated
11/06/2023
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