Individual
MS. KATHLEEN MARY MCKENNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
225 LIBERTY ST, BROCKTON, MA 02301-5571
(508) 427-0246
(508) 427-0244
Mailing address
64 ASHLEY LN, MIDDLEBORO, MA 02346-3200
(508) 946-3478
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1575
MA
1041C0700X
Clinical Social Worker
1028748
MA
1041C0700X
Clinical Social Worker
ISW01678
RI
Other
Enumeration date
06/12/2007
Last updated
09/11/2025
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