Tracy Kennedy Counseling Llc | |
1142 Highway 71 S Ste C Mena AR 71953-8078 | |
(479) 437-7967 | |
Not Available |
Full Name | Tracy Kennedy Counseling Llc |
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Speciality | Counselor - Professional |
Location | 1142 Highway 71 S Ste C, Mena, Arkansas |
Authorized Official Name and Position | Tracy Kennedy (OWNER) |
Authorized Official Contact | 4792164262 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Tracy Kennedy Counseling Llc 151 Allen Ln Oden AR 71961-8069 Ph: (479) 216-4262 | Tracy Kennedy Counseling Llc 1142 Highway 71 S Ste C Mena AR 71953-8078 Ph: (479) 437-7967 |
NPI Number | 1891411559 |
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Provider Enumeration Date | 10/14/2022 |
Last Update Date | 10/14/2022 |
Certification Date | 10/10/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891411559 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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