Provider Demographics
NPI:1598433682
Name:MCDONALD, JENNA (LMHC-P)
Entity Type:Individual
Prefix:
First Name:JENNA
Middle Name:
Last Name:MCDONALD
Suffix:
Gender:F
Credentials:LMHC-P
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 WILSHIRE RD
Mailing Address - Street 2:
Mailing Address - City:CHEEKTOWAGA
Mailing Address - State:NY
Mailing Address - Zip Code:14225-1238
Mailing Address - Country:US
Mailing Address - Phone:716-908-9268
Mailing Address - Fax:
Practice Address - Street 1:106 WILSHIRE RD
Practice Address - Street 2:
Practice Address - City:CHEEKTOWAGA
Practice Address - State:NY
Practice Address - Zip Code:14225-1238
Practice Address - Country:US
Practice Address - Phone:716-908-9268
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-02
Last Update Date:2023-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health