Provider Demographics
NPI:1457239972
Name:MCNEEL, PENNY YANNACONE (LMFC)
Entity type:Individual
Prefix:MRS
First Name:PENNY
Middle Name:YANNACONE
Last Name:MCNEEL
Suffix:
Gender:F
Credentials:LMFC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1268 PREVOST ST
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95125-1752
Mailing Address - Country:US
Mailing Address - Phone:650-387-1414
Mailing Address - Fax:
Practice Address - Street 1:1268 PREVOST ST
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95125-1752
Practice Address - Country:US
Practice Address - Phone:650-387-1414
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-22
Last Update Date:2025-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA21664106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist