Individual
ANDREW MCKENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8100 MOUNTAIN RD NE, SUITE 200B, ALBUQUERQUE, NM 87110-7818
(505) 830-6500
Mailing address
8100 MOUNTAIN RD NE, SUITE 200B, ALBUQUERQUE, NM 87110-7818
(505) 830-6500
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
T-0179441
NM
Other
Enumeration date
02/19/2016
Last updated
02/19/2016
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