Individual provider · Type 1 NPI

Colleen Hennessy, M.S., L.P.C.C.

Mental Health Counselor · San Diego, CA

NPI number 1174844518 Active

Practice location

995 Gateway Center Way, Suite 300
San Diego, CA 92102-4500

Mailing address

1202 Morena Blvd Ste 203
San Diego, CA 92110-3843

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X286 (CA)
Mental Health Counselor Primary 101YM0800X286 (CA)

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About NPI 1174844518

Colleen Hennessy, M.S., L.P.C.C.'s National Provider Identifier is 1174844518, issued on Jun 21, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Diego, CA. The record was last updated on Oct 11, 2018.