Most Relevant Information
Provider Data
NPI Number: | 1003255696 |
Provider Name: | TRACY M MCDONALD LPCC |
Entity Type: | Individual |
Taxonomy Code: | 101YP2500X |
Specialty: | Counselor |
License Number: | 239923 |
Most Important Dates
Enumeration Date: | 06/18/2013 |
Last Updated: | 05/11/2021 |
Provider Practice Location
90 MEDICAL LN
WHITLEY CITY
KY
426534216
Practice Location Phone/Fax
Phone: | 6063762466 |
Fax: |
Provider Mailing Location
177 LES GILREATH ROAD
STEARNS
KY
42647
Provider Mailing Phone/Fax
Phone: | |
Fax: |