Individual provider · Type 1 NPI
Tracy Lynn Tackett, LPC
Professional Counselor · Holts Summit, MO
NPI number
1417698689
Active
Practice location
12110 County Road 4040
Holts Summit, MO 65043-1713
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 2017035089 (MO) |
Professional Counselor: Definition to come...
About NPI 1417698689
Tracy Lynn Tackett, LPC's National Provider Identifier is 1417698689, issued on Apr 4, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Holts Summit, MO. The record was last updated on Jul 18, 2022.