Most Relevant Information
Provider Data
| NPI Number: | 1003595836 |
| Provider Name: | MCKENNA FARREN LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 2021024969 |
Most Important Dates
| Enumeration Date: | 07/18/2023 |
| Last Updated: | 07/18/2023 |
Provider Practice Location
888 HAINES STE 230
LIBERTY
MO
640681008
Practice Location Phone/Fax
| Phone: | 8163739240 |
| Fax: |
Provider Mailing Location
3135 NE 59TH TER APT 1
GLADSTONE
MO
641192132
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |