Provider Demographics
NPI:1831490721
Name:WONSER, TRACY J (PHD, LPC ASSOCIATE,)
Entity Type:Individual
Prefix:DR
First Name:TRACY
Middle Name:J
Last Name:WONSER
Suffix:
Gender:F
Credentials:PHD, LPC ASSOCIATE,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 MAIN ST STE 307
Mailing Address - Street 2:
Mailing Address - City:KLAMATH FALLS
Mailing Address - State:OR
Mailing Address - Zip Code:97601-6049
Mailing Address - Country:US
Mailing Address - Phone:541-892-0518
Mailing Address - Fax:
Practice Address - Street 1:501 MAIN ST STE 307
Practice Address - Street 2:
Practice Address - City:KLAMATH FALLS
Practice Address - State:OR
Practice Address - Zip Code:97601-6049
Practice Address - Country:US
Practice Address - Phone:541-892-0518
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-08
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor