Organization
TRACY KENNEDY COUNSELING LLC
Active
Other names
Tracy Kennedy Counseling LLC
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY KENNEDY (OWNER)
(479) 216-4262
Entity
Organization
Contact information
Practice address
1142 HIGHWAY 71 S STE C, MENA, AR 71953-8078
(479) 437-7967
Mailing address
151 ALLEN LN, ODEN, AR 71961-8069
(479) 216-4262
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
10/14/2022
Last updated
10/14/2022
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