Individual
KENNA DEFINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC LCPC NCC
Contact information
Practice address
1143 E IRELAND RD # 1097, SOUTH BEND, IN 46614-3446
(331) 472-0301
Mailing address
1143 E IRELAND RD # 1097, SOUTH BEND, IN 46614-3446
(331) 472-0301
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
376001106006
—
IL
05
—
376001106007
—
IL
Enumeration date
06/18/2014
Last updated
01/30/2026
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