Provider Demographics
NPI:1952697807
Name:MCKENNA, ERIN MARIE (LPC)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:MARIE
Last Name:MCKENNA
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:ERIN
Other - Middle Name:MARIE
Other - Last Name:O'DONNELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:3601 MCKNIGHT EAST DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-6400
Mailing Address - Country:US
Mailing Address - Phone:412-369-9943
Mailing Address - Fax:
Practice Address - Street 1:5433 WALNUT ST
Practice Address - Street 2:SUITE 3
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15232-3214
Practice Address - Country:US
Practice Address - Phone:412-921-3908
Practice Address - Fax:866-229-3442
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-20
Last Update Date:2018-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC005831101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional