Individual
CHASE C MCKINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
9396 CONFEDERATE PARK RD, LAKESIDE, TX 76135-4916
(817) 542-2111
Mailing address
624 RIVER ROCK DR, AZLE, TX 76020-1156
(817) 542-2111
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
76786
TX
Other
Enumeration date
09/02/2019
Last updated
09/02/2019
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