Individual
MR. CHARLES F MCKENNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1548 G ST, SALIDA, CO 81201-2645
(719) 221-5197
Mailing address
7116 CLARK HILL RD, SALIDA, CO 81201-9711
(719) 221-5197
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC.0001888
CO
Other
Enumeration date
09/13/2023
Last updated
09/13/2023
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