TRACY L SUNDE


Address: 512 4th St Sw, Medford, MN 55049-9568
Phone: 5072108695

TRACY L SUNDE (NPI# 1124685870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124685870
Entity Type Individual
Full Name TRACY L SUNDE
Credential LADC
Practice Address 512 4th St Sw
Medford
MN 55049-9568
Practice Telephone 5072108695
Mailing Telephone 5072108695
Enumeration Date 2019-05-28
Last Update Date 2019-05-28
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
305441 MN Behavioral Health & Social Service Providers

Office Location

Street Address 512 4TH ST SW
City MEDFORD
State MN
Zip Code 55049-9568

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598323453 Refine Service Coordination Pllc Counselor 512 4th St Sw, Medford, MN 55049-9568 2019-06-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184705634 Our Homes South, Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 113 North Main Street, Medford, MN 55049-0119 2006-10-18
1093969107 Renae Dawn Blome Dental Hygienist 4366 270th St E, Medford, MN 55049-8001 2008-11-17
1245397603 Isd 763 Medford Public School Local Education Agency (LEA) 750 2nd Ave Se, Medford, MN 55049-9586 2007-01-03
1295207215 Joseph J Claeys Social Worker 750 2nd Ave Se, Medford, MN 55049-9586 2019-01-02

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1174124226 Shane William Macdonald Social Worker 20 Stearns Ave, Medford, MA 02155-5620 2020-11-05
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1366042418 Sarah Hassan Registered Nurse 298 Fellsway W, Medford, MA 02155-2646 2020-10-28
1720688021 Edward Cutler Phlebology 724 S Central Ave Ste 206, Medford, OR 97501-7833 2020-10-27
1801496310 Dyshonia Louise Dent Licensed Practical Nurse 1102 Lake Dr, Medford, NY 11763-4620 2020-10-26
1922607464 Rogue Therapy Community/Behavioral Health 328 S Central Ave Ste 213, Medford, OR 97501-7274 2020-10-24
1295334118 Moriah J Spendolini Behavioral Analyst 3709 Citation Way, Medford, OR 97504-9022 2020-10-21
1245839372 Giovanni Germain Behavior Technician 29 Fells Avenue Ter, Medford, MA 02155-1913 2020-10-20
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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1245737956 Larkspur Counseling LLC Counselor 328 S Central Ave Ste 212, Medford, OR 97501-7274 2018-04-09
1376068015 Megan Leggett Counselor 777 Murphy Road, Medford, OR 97504 2017-08-03
1255875654 Danielle E Peterson Counselor 429 W Broadway Ave, Medford, WI 54451-1608 2016-12-05
1376099523 Patricia Mcatee Counselor 243 N Holly St, Apt 1, Medford, OR 97501-5603 2016-08-28
1437512449 Sage Bosch Counselor 1003 E Main St # 104, Medford, OR 97504-7448 2016-03-29
1114385853 April Collins-macauley Counselor 234 W 5th St, Medford, OR 97501-2611 2016-02-09
1154714418 Marykay Powell Counselor 4175 Cedar Ln, Medford, OR 97501-9611 2015-03-11
1699163931 Violeta Iguchi Counselor 3501 Excel Dr Ste 225, Medford, OR 97504-8067 2015-01-08
1790109049 Ellen Lynch Counselor 3251 Route 112 Ste 2, Medford, NY 11763-1446 2014-02-06
1922429174 Roderick Evans Counselor 107 E Main St Ste 11, Medford, OR 97501-6022 2013-12-13
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Competitor

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City MEDFORD
Zip Code 55049

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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