Individual provider · Type 1 NPI

Colleen McKenna

Addiction (Substance Use Disorder) Counselor · Jacksonville, FL

NPI number 1417600115 Active

Practice location

6639 Southpoint Pkwy Ste 108
Jacksonville, FL 32216-8042

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1417600115

Colleen McKenna's National Provider Identifier is 1417600115, issued on Feb 2, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Jacksonville, FL. The record was last updated on Feb 2, 2022.