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Individual

ANGELA LYNNE MCKINSTRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BA SOCIOLOGY, MATS

Contact information

Practice address
1415 MCTAVISH DR, CLARKSVILLE, IN 47129-1407
(812) 256-4686
(812) 256-4415
Mailing address
1415 MCTAVISH DR, CLARKSVILLE, IN 47129-1407
(812) 256-4686
(812) 256-4415

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101YA0400X
IN
Enumeration date
02/01/2016
Last updated
02/01/2016
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