Individual
EMILY MCKENNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11225 FRONT ST # 3, MOKENA, IL 60448-1303
(708) 996-0774
Mailing address
1340 S WASHINGTON ST, LOCKPORT, IL 60441-3518
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180010870
IL
Other
Enumeration date
10/10/2018
Last updated
02/23/2019
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