Individual provider · Type 1 NPI
Jamie McKenna, LCSW
Student in an Organized Health Care Education/Training Program · Sebastopal, CA
NPI number
1215311576
Active
Practice location
120 Pleasant Hill Road, Unit 160
Sebastopal, CA 95472
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
About NPI 1215311576
Jamie McKenna, LCSW's National Provider Identifier is 1215311576, issued on Jul 16, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Sebastopal, CA. The record was last updated on Sep 20, 2022.