Individual
MS. ANGELA MCKENNEY
Active
Individual
MS. ANGELA MCKENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LADC, MHRTC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CAC3232
ME
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC4596
ME
1041C0700X
Clinical Social Worker
Primary
LC13932
ME
1041C0700X
Clinical Social Worker
MC12423
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5410480099
—
ME
Enumeration date
10/20/2005
Last updated
03/08/2013
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