Tracy Diane Soos LCPC

NPI 1285953034 - Counselor - 101YA0400X

NPI Details
NPI 1285953034
Gender Female
Enumeration Date 05/19/2010
Last Updated 05/19/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
1400 N SEMINARY AVE
UNIT L
WOODSTOCK IL, 60098-2980, US
Phone (815) 459-0499
Fax (815) 788-0115
Business Location
1400 N SEMINARY AVE
UNIT L
WOODSTOCK IL, 60098-2980, US
Phone (815) 459-0499
Fax (815) 788-0115
Toxanomy
Taxonomy Code 101YA0400X
License State Illinois
License Number 22650
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According to our database, Mrs. Tracy Diane Soos LCPC NPI is 1285953034, taxonomy code is 101YA0400X and license number is 22650, license state is located at Illinois. Tracy Diane Soos LCPC physically located at 1400 N Seminary Ave, Woodstock IL, 60098-2980. NPI Number Tracy Diane Soos LCPC has the Individual type.

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1285953034 NPI number is provided on an as is basis without warranty of any kind. 1285953034 is maintained by the National Plan & Provider Enumeration System. The contents of Tracy Diane Soos LCPC are for informational purposes only.