Search › New York › 101YA0400X
Tracy Mickelson, CASAC
NPI 1639785033 · on the registry since 2020
Practice
- Address
- 1149 Sullivan St Ste B
Elmira, NY 14901 - Phone
- (607) 733-7661
- Fax
- (607) 733-7675
- Organisation at this address
- Capabilities Inc.
Capabilities, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 30
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-09-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York