Individual
JONATHON D MCKENNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA LPC
Contact information
Practice address
1763 ST RT 60, SUITE 120, ASHLAND, OH 44805
(419) 289-4825
(419) 289-4826
Mailing address
1763 ST RT 60, SUITE 120, ASHLAND, OH 44805
(419) 289-4825
(419) 289-4826
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C.1500519
OH
Other
Enumeration date
11/10/2016
Last updated
11/15/2016
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