Individual provider · Type 1 NPI
Tracie Michelle Donnelly
Counselor · Vandalia, IL
NPI number
1558828392
Active
Practice location
1121 N 6th St
Vandalia, IL 62471-1219
Mailing address
1733 Moonglow Rd
Centralia, IL 62801-6767
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None listed |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
4 other providers at this address
About NPI 1558828392
Tracie Michelle Donnelly's National Provider Identifier is 1558828392, issued on Feb 28, 2019. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Vandalia, IL. The record was last updated on Feb 28, 2019.