Mckenna, Kathleen Mary

Mckenna, Kathleen Mary is an sole proprietor health care provider with primary practice located at 225 Liberty St , Brockton MA 02301-5571. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Mckenna, Kathleen Mary can be contacted via phone (508) 427-0246.

Contact Information

Primary practice address
225 Liberty St Brockton MA 02301-5571
Phone: (508) 427-0246
Fax: (508) 427-0244
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1575 Massachusetts
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1028748 Massachusetts
Behavioral Health & Social Service Providers / Clinical 1041C0700X ISW01678 Rhode Island

Profile Details

NPI number 1720282130
LBN Legal business name Mckenna, Kathleen Mary
Credentials LICSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 12th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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