Provider Demographics
NPI:1437753886
Name:LUCCHINI, KENNA C (LCMHC MLADC)
Entity type:Individual
Prefix:MRS
First Name:KENNA
Middle Name:C
Last Name:LUCCHINI
Suffix:
Gender:
Credentials:LCMHC MLADC
Other - Prefix:
Other - First Name:KENNA
Other - Middle Name:
Other - Last Name:MARQUIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11 KIMBALL DRIVE
Mailing Address - Street 2:SUITE 104 & 105
Mailing Address - City:HOOKSETT
Mailing Address - State:NH
Mailing Address - Zip Code:03106
Mailing Address - Country:US
Mailing Address - Phone:603-824-3555
Mailing Address - Fax:603-935-9389
Practice Address - Street 1:644 STATE ST
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301
Practice Address - Country:US
Practice Address - Phone:603-824-3555
Practice Address - Fax:603-935-9389
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-25
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health