Mckenney, Angela

Mckenney, Angela is an individual health care provider with primary practice located at Togus 1 Va Ctr 116-B, Augusta ME 04333-6142. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Mckenney, Angela can be contacted via phone (207) 623-8411.

Contact Information

Primary practice address
Togus 1 Va Ctr 116-B Augusta ME 04333-6142
Phone: (207) 623-8411
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CAC3232 Maine
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LC4596 Maine
Behavioral Health & Social Service Providers / Clinical 1041C0700X MC12423 Maine
Behavioral Health & Social Service Providers / Clinical 1041C0700X LC13932 Maine

Profile Details

NPI number 1649269739
LBN Legal business name Mckenney, Angela
Credentials LCSW, LADC, MHRTC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2005
Last updated Mar 8th, 2013 - about 13 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 1649269739 NPPES
Maine MEDICAID 5410480099

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