MEDICARE: JENNA MCDONALD LMHC

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	101YP2500X	Professional Counselor	PC018480	PA
2	101YM0800X	Mental Health Counselor	012960	NY

General Provider Information

NPI Number	:	1598433682
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNA MCDONALD LMHC

Provider Business Mailing Address
First Line	:	106 WILSHIRE RD
Second Line	:
City	:	CHEEKTOWAGA
State	:	NY
Zip	:	14225-1238
Country	:	US
Telephone Number	:	716-908-9268
Fax Number	:

Provider Business Practice Location Address
First Line	:	106 WILSHIRE RD
Second Line	:
City	:	CHEEKTOWAGA
State	:	NY
Zip	:	14225-1238
Country	:	US
Telephone Number	:	716-908-9268
Fax Number	:

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

Provider Enumeration Date	:	09/02/2021
Last Update Date	:	04/06/2026

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Directions to “ JENNA MCDONALD LMHC” Practice Location

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