Individual
TRACY ANN KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
139 SCHOOL LN, MENA, AR 71953-8432
(479) 394-2932
(479) 243-0285
Mailing address
PO BOX 1848, MENA, AR 71953-1841
(479) 437-3449
(479) 243-0285
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P1901004
AR
Other
Enumeration date
09/11/2012
Last updated
03/07/2019
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