Individual
MR. BRIAN JAMES MCKENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.ED.
Contact information
Practice address
66 CANAL ST, BOSTON, MA 02114-2002
(917) 597-1274
Mailing address
5 CABOT RD UNIT 113, MEDFORD, MA 02155-5280
(917) 597-1274
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/24/2022
Last updated
06/24/2022
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