Individual
DR. JAKE STEWART MCKINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
214 KEOWEE TRL, CLEMSON, SC 29631-1448
(864) 654-9263
Mailing address
214 KEOWEE TRL, CLEMSON, SC 29631-1448
(864) 654-9263
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
91
SC
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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