Individual
CONNER JOHN MCKINZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
107 W 82ND ST # LLP101, NEW YORK, NY 10024-5511
(646) 389-4112
Mailing address
310 SAINT NICHOLAS AVE, BROOKLYN, NY 11237-6566
(214) 926-2284
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P127394
NY
Other
Enumeration date
02/11/2025
Last updated
08/08/2025
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