Individual
CAROL JOAN MCKINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, CASAC-T
Contact information
Practice address
37 JOHN ST, AMITYVILLE, NY 11701-2930
(631) 424-2900
(631) 608-1057
Mailing address
46 WALTER AVE, HICKSVILLE, NY 11801-5345
(646) 404-4061
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
103448
NY
101YA0400X
Addiction (Substance Use Disorder) Counselor
103448
NY
101YM0800X
Mental Health Counselor
103448
NY
101YP2500X
Professional Counselor
103448
NY
104100000X
Social Worker
103448
NY
1041C0700X
Clinical Social Worker
Primary
103448
NY
106H00000X
Marriage & Family Therapist
103448
NY
Other
Enumeration date
04/28/2018
Last updated
04/28/2018
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