Most Relevant Information
Provider Data
| NPI Number: | 1003054362 |
| Provider Name: | NEENA NICOLE MCCONNICO M.A., LMHC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 6427 |
Most Important Dates
| Enumeration Date: | 01/25/2009 |
| Last Updated: | 01/25/2009 |
Provider Practice Location
95 RIVER ST
BROCKTON
MA
023022336
Practice Location Phone/Fax
| Phone: | 5085808546 |
| Fax: |
Provider Mailing Location
95 RIVER ST
BROCKTON
MA
023022336
Provider Mailing Phone/Fax
| Phone: | 5085808546 |
| Fax: |