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NPI Code Detail

MEDICARE: TRACI HORRISBERGER LLPC

MEDICARE: TRACI HORRISBERGER LLPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor6451014053MI

General Provider Information

NPI Number : 1255904868
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRACI HORRISBERGER LLPC
Provider Business Mailing Address
First Line : 443 N STATE ST
Second Line :
City : CARO
State : MI
Zip : 48723-1539
Country : US
Telephone Number : 989-672-6160
Fax Number :
Provider Business Practice Location Address
First Line : 651 N STATE ST
Second Line :
City : CARO
State : MI
Zip : 48723-1584
Country : US
Telephone Number : 989-672-6160
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2021
Last Update Date : 07/21/2021

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Directions to “ TRACI HORRISBERGER LLPC” Practice Location

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