Provider Demographics
NPI:1730253147
Name:COTRONE, PATRICIA ANN (LPC MA NCC)
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:ANN
Last Name:COTRONE
Suffix:
Gender:F
Credentials:LPC MA NCC
Other - Prefix:
Other - First Name:TRICIA
Other - Middle Name:A
Other - Last Name:COTRONE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC MA NCC
Mailing Address - Street 1:2620 STEWART AVE
Mailing Address - Street 2:SUITE 310
Mailing Address - City:WAUSAU
Mailing Address - State:WI
Mailing Address - Zip Code:54401-4170
Mailing Address - Country:US
Mailing Address - Phone:715-848-0525
Mailing Address - Fax:715-848-8665
Practice Address - Street 1:2620 STEWART AVE
Practice Address - Street 2:SUITE 310
Practice Address - City:WAUSAU
Practice Address - State:WI
Practice Address - Zip Code:54401-4170
Practice Address - Country:US
Practice Address - Phone:715-848-0525
Practice Address - Fax:715-848-8665
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2007-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2802125101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor