Provider Demographics
NPI:1720976152
Name:VRBA, MCKENNA (LPC)
Entity type:Individual
Prefix:MRS
First Name:MCKENNA
Middle Name:
Last Name:VRBA
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MRS
Other - First Name:MCKENNA
Other - Middle Name:
Other - Last Name:VRBA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BA
Mailing Address - Street 1:1820 S EAGLE RD
Mailing Address - Street 2:
Mailing Address - City:MERIDIAN
Mailing Address - State:ID
Mailing Address - Zip Code:83642-2447
Mailing Address - Country:US
Mailing Address - Phone:208-203-3269
Mailing Address - Fax:
Practice Address - Street 1:1820 S EAGLE RD
Practice Address - Street 2:
Practice Address - City:MERIDIAN
Practice Address - State:ID
Practice Address - Zip Code:83642-2447
Practice Address - Country:US
Practice Address - Phone:208-203-3269
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-25
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID9271867101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health