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Individual
JUSTIN EDWARD MCKINNEY
Active
Individual
JUSTIN EDWARD MCKINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, NCC, LCHMCA
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A17061
NC
101YP2500X
Professional Counselor
A17061
NC
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
10/19/2021
Last updated
11/10/2021
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