Mckenney, Tracy R
Mckenney, Tracy R is an sole proprietor health care provider with primary practice located at 187 S Indiana Ave Ste 307 , Kankakee IL 60901-3645. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Mckenney, Tracy R can be contacted via phone (815) 408-1262.Contact Information
Primary practice address
187 S Indiana Ave Ste 307
Kankakee IL 60901-3645
Phone: (815) 408-1262
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 36495 | Illinois |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 180015161 | Illinois |
Profile Details
| NPI number | 1962068577 |
|---|---|
| LBN Legal business name | Mckenney, Tracy R |
| Credentials | LCPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 20th, 2019 |
| Last updated | Jan 9th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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