Individual
KATHLEEN GLADYS MCKINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., LSW, CSW
Contact information
Practice address
5131 S COLLEGE AVE, FORT COLLINS, CO 80525-3968
(970) 305-2399
(970) 236-9260
Mailing address
4217 WELLINGTON DR, FORT COLLINS, CO 80526-5252
(970) 556-2729
(970) 236-9260
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LSW-243
CO
1041C0700X
Clinical Social Worker
Primary
CSW-9923084
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14146383
ANTHEM/BLUE CROSS
CO
Enumeration date
10/23/2012
Last updated
02/09/2017
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