| NPI | 1891411559 |
|---|---|
| Doing Business As | TRACY KENNEDY COUNSELING LLC |
| Entity Type | Organization |
| Authorized Contact | TRACY KENNEDY Owner 479-216-4262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2022-10-14 |
| Last Update Date | 2022-10-14 |