Individual
MS. MICHELLE ELAINE MCKENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
210 W CAPITOL DR, MILWAUKEE, WI 53212-1123
(414) 727-6320
(414) 727-6328
Mailing address
210 W CAPITOL DR, MILWAUKEE, WI 53212-1123
(414) 727-6320
(414) 727-6328
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15959-132
WI
1041C0700X
Clinical Social Worker
Primary
8153-123
WI
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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