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Individual
COLLEEN HENNESSY
Active
Individual
COLLEEN HENNESSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., L.P.C.C.
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
286
CA
101YP2500X
Professional Counselor
286
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPC#286
BOARD OF BEHAVIORAL SCIENCES
CA
Enumeration date
06/21/2010
Last updated
10/11/2018
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