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Tracie Michelle Donnelly
Counselor in Vandalia, Illinois
NPI 1558828392

Tracie Michelle Donnelly is a Counselor based in Centralia, IL. Tracie Michelle Donnelly practices in Vandalia, IL. The NPI Number for Tracie Michelle Donnelly is 1558828392 and holds a License No. (Illinois).

The current practice location address for Tracie Michelle Donnelly is 1121 N 6Th St, Vandalia, IL and can be reached out via phone at 618-283-2222. You can also correspond with Tracie Michelle Donnelly through the mailing address at 1733 MOONGLOW RD, CENTRALIA, IL - 62801-6767 (mailing address contact number: 618-335-6708).

Location: 1121 N 6Th St, Vandalia, IL, 62801-6767
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558828392
Provider Name
Tracie Michelle Donnelly
Credential
Provider Entity Type
Individual
Gender
Female
Address
1121 N 6Th St, Vandalia, IL, 62801-6767
Phone Number
618-283-2222
Fax Number
Provider Enumeration Date
02/28/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1121 N 6Th St
City
Vandalia
State
Illinois
Zip
62471-1219
Phone Number
618-283-2222
Fax Number
person
Provider Business Mailing Address Details
Address
1121 N 6Th St
City
Vandalia
State
Illinois
Zip
62471-1219
Phone Number
618-283-2222
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
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.
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