MEDICARE: ZOE-ANNE MCKENNA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	CI5130	NV

General Provider Information

NPI Number	:	1144778358
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZOE-ANNE MCKENNA

Provider Business Mailing Address
First Line	:	1805 AMARAK WAY
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89523-1581
Country	:	US
Telephone Number	:	775-842-2464
Fax Number	:

Provider Business Practice Location Address
First Line	:	4600 KIETZKE LN BLDG L
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89502-5033
Country	:	US
Telephone Number	:	775-636-7767
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/15/2016
Last Update Date	:	03/09/2026

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Directions to “ ZOE-ANNE MCKENNA ” Practice Location

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