Individual
KAREN L MCKINLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY D LCSW LMFT
Contact information
Practice address
3300 ACADEMY AVE, ACADEMY CROSSING MEDICAL PLAZA, PORTSMOUTH, VA 23703-3205
(757) 483-6404
(757) 483-0737
Mailing address
3300 ACADEMY AVE, ACADEMY CROSSING MEDICAL PLAZA, PORTSMOUTH, VA 23703-3205
(757) 483-6404
(757) 483-0737
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0718000070
VA
1041C0700X
Clinical Social Worker
Primary
0904000079
VA
106H00000X
Marriage & Family Therapist
0717000902
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08072S
SENTARA
VA
01
—
090573
ANTHEM
VA
05
—
8902976
—
VA
Enumeration date
09/15/2005
Last updated
07/01/2008
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