Tracy Lynn Tackett, LPC

NPI #1417698689 in Holts Summit, Missouri

Provider Information

NPI Number
1417698689
Entity Type
Individual
Name
Tracy Lynn Tackett, LPC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Credential
LPC
Enumeration Date
Apr 4, 2022
Last Updated
Jul 18, 2022

Practice Location

Address
12110 COUNTY ROAD 4040
ZIP Code
65043-1713
Phone
(573) 220-3797

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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