COLLEEN MCKENNA
NPI 1417600115
Counselor - Addiction (Substance Use Disorder) in Jacksonville, FL

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).

Active since February 02, 2022

6639 SOUTHPOINT PKWY STE 108, JACKSONVILLE, FL 32216(904) 438-7640 Get Directions Write a Review

NPPES record last updated: February 2, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Colleen Mckenna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COLLEEN MCKENNA (NPI 1417600115) is an individual addiction (substance use disorder) provider in Jacksonville, Florida and active in the NPI registry since February 2022.

NPPES Registry Identity

NPI1417600115

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameCOLLEEN MCKENNA

Location Address6639 SOUTHPOINT PKWY STE 108Jacksonville, FL 32216-8042

Mailing Address6639 Southpoint Pkwy Ste 108Jacksonville, FL 32216-8042

Phone(904) 438-7640

Sole ProprietorNo

Enumeration DateFebruary 2, 2022

NPPES CertifiedJanuary 31, 2022

✔ NPI 1417600115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

6639 SOUTHPOINT PKWY STE 108, Jacksonville, FL 32216

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Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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Counselor (Addiction (Substance Use Disorder))