Mckenna, Theodorah Emillia

Mckenna, Theodorah Emillia is an sole proprietor health care provider with primary practice located at 201 Centre Plaza Dr , Monterey Park CA 91754-2142. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mckenna, Theodorah Emillia can be contacted via phone (323) 526-6578.

Contact Information

Primary practice address
201 Centre Plaza Dr Monterey Park CA 91754-2142
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCS 19083 California

Profile Details

NPI number 1316099575
LBN Legal business name Mckenna, Theodorah Emillia
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2007
Last updated Jul 8th, 2007 - about 17 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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