Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB KENNETH TRACY, LPC, NCC
Active Sole ProprietorJACOB KENNETH TRACY, LPC, NCC is a Professional Counselor healthcare provider located in PETOSKEY, Michigan. NPI 1720585037 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · PETOSKEY, MI
Registration Details
- NPI Number
- 1720585037
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 12, 2018 (8.3296689995889 yrs)
- Last Updated
- Apr 12, 2018
- License
-
6401015019 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
410 E LAKE STREETSUITE 100PETOSKEY, MI, 49770Browse MI providers · Browse ZIP 49770
- Phone
- 6168894104
- Primary Specialty
-
Professional Counselor
101YP2500X
Other Professional Counselor Providers in PETOSKEY, MI
| Name | Credential | NPI |
|---|---|---|
| JOELLE LYN DRADER | M.D., M.A., L.P.C. | 1164600730 |
| MR. PAUL MICHAEL SULLIVAN | LPC | 1427289347 |
| MR. CASPER T WURTSMITH | MA, LPC, CAADC | 1548599129 |
| MS. CATHRYN J SCHUIL | MA, LPC, CAADC | 1174852081 |
| MRS. CHRISTINE M DILLON | LPC | 1689949893 |
| CAROLYN JEAN BELKNAP | — | 1194164921 |
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.