Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TRACY L SUNDE, LADC
Active Sole ProprietorTRACY L SUNDE, LADC is a Addiction (Substance Use Disorder) Counselor healthcare provider located in MEDFORD, Minnesota. NPI 1124685870 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · MEDFORD, MN
Registration Details
- NPI Number
- 1124685870
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 28, 2019 (7.0708201544241 yrs)
- Last Updated
- May 28, 2019
- License
-
305441 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
512 4TH ST SWMEDFORD, MN, 550499568Browse MN providers · Browse ZIP 55049
- Phone
- 5072108695
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.