Individual
TRACY CHANEY OLDAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC-S
Contact information
Practice address
618 N GREEN ST, HENDERSON, KY 42420-2949
(270) 826-8314
Mailing address
PO BOX 1637, OWENSBORO, KY 42302-1637
(270) 689-6500
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103362
KY
101YP2500X
Professional Counselor
Primary
103362
KY
Other
Enumeration date
10/19/2020
Last updated
12/18/2020
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