Mckenna, Colleen

Mckenna, Colleen is an individual health care provider with primary practice located at 3455 Route 66 , Neptune NJ 07753-2758. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Mckenna, Colleen can be contacted via phone (732) 292-2929.

Contact Information

Primary practice address
3455 Route 66 Neptune NJ 07753-2758
Phone: (732) 292-2929
Fax: (732) 782-0345
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 44SC05590600 New Jersey
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 37LC00218500 New Jersey

Profile Details

NPI number 1356638654
LBN Legal business name Mckenna, Colleen
Credentials LSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2011
Last updated Mar 17th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356638654 NPPES
New Jersey MEDICAID 4542703

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