Organization
SOPHRON COUNSELING SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY R MCKENNEY LCPC (OWNER)
(815) 408-1262
Entity
Organization
Contact information
Practice address
187 S INDIANA AVE STE 307, KANKAKEE, IL 60901-3645
(815) 408-1262
(815) 401-7684
Mailing address
187 S INDIANA AVE STE 307, KANKAKEE, IL 60901-3645
(815) 408-1262
(815) 401-7684
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
09/12/2024
Last updated
09/12/2024
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