Individual
AMY L MCKENNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
12389 LAVENDER LOOP, BRADENTON, FL 34212-2976
(941) 545-4515
Mailing address
12389 LAVENDER LOOP, BRADENTON, FL 34212-2976
(941) 545-4515
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/25/2016
Last updated
08/25/2016
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