Individual
NICOLE MCKINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC, CSOTS
Contact information
Practice address
2510 WADE HAMPTON BLVD, GREENVILLE, SC 29615-1168
(864) 509-0774
Mailing address
1407 GEER HWY, TRAVELERS REST, SC 29690-7606
(864) 293-2053
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7251
SC
Other
Enumeration date
09/10/2019
Last updated
11/04/2019
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