| Doctor Name: | MRS. BELINDA C MCKENNA |
| NPI Number: | 1154515518 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA |
| License Number: | |
| Business Practice Address: | 712 2nd St Fort Lupton, CO - 806211803 |
| Business Phone Number: | 9705762906 |
| Business Fax Number: | 9703307032 |
| Mailing Address: | 712 2nd St, FORT LUPTON |
| State: | CO |
| Postal Code: | 806211803 |
| Phone Number: | 9705762906 |
| Fax Number: | 9703307032 |
| NPI Enumeration Date: | 08/29/2007 |
| NPI Last Update Date: | 06/22/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |