Individual
CASSIDY DIANE MCKINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2227 CAPRICORN WAY STE 207, SANTA ROSA, CA 95407-5486
(707) 295-0239
Mailing address
2227 CAPRICORN WAY, SANTA ROSA, CA 95407-5478
(707) 295-0239
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15340
CA
Other
Enumeration date
01/09/2025
Last updated
01/09/2025
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