Individual
DAVE THOMAS MCKENNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
2592 E GRAND AVE, SUITE 202, LINDENHURST, IL 60046-5915
(847) 651-4719
Mailing address
1610 ORIOLE CT, LINDENHURST, IL 60046-9509
(847) 651-4719
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180005667
IL
Other
Enumeration date
01/03/2007
Last updated
02/09/2015
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