Individual
MR. DAVID ANTHONY MCKINNEY SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW, LCDCIII
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LLCDC.081234-3
OH
104100000X
Social Worker
Primary
S.060063
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2871101
—
OH
Enumeration date
03/21/2014
Last updated
03/21/2014
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