Individual
MR. MICHAEL MCKINNEY SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW, LADC, CSAC
Contact information
Practice address
15 NORTH ST, DANBURY, CT 06810-5604
(203) 917-3695
Mailing address
15 NORTH ST, DANBURY, CT 06810-5604
(203) 917-3695
(203) 917-3697
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
929
CT
Other
Enumeration date
06/12/2007
Last updated
06/08/2015
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