Tracy Lynette Pannunzio, LPC
Counselor, Professional in Torrington, WY. Individual provider (NPI-1).
NPI number1861995433
StatusActive
Last updated in NPPESApr 25, 2023
Details
- NPI
- 1861995433
- Entity type
- Individual (NPI-1)
- Name
- Tracy Lynette Pannunzio
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 9, 2018
- Certification date
- Apr 25, 2023
- Last updated
- Apr 25, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 1762 | WY | Yes |
| 101YM0800X | Counselor, Mental Health | 1025 | WY | |
| 101YP2500X | Counselor, Professional | 2478 | NE |
Practice location
407 W 27th AveTorrington, WY 82240-1839
Phone 307-338-8099 · Fax 307-333-7321
Mailing address
407 W 27th AveTorrington, WY 82240-1839
Phone 307-338-8099 · Fax 307-333-7321
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