Individual
MR. DAVID ANTHONY MCKINNEY SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW, LCDCIII
Contact information
Practice address
11801 BUCKEYE RD, CLEVELAND, OH 44120-2620
(121) 683-1225
(121) 683-1043
Mailing address
3737 LANDER RD, PEPPER PIKE, OH 44124-5712
(121) 683-1225
(121) 683-1043
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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