Individual
CHRISTINE P MCKILLOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6302 THIRTEENTH AVENUE, LUCERNE, CA 95458
(707) 274-9101
(707) 274-9192
Mailing address
7393 ANCHOR DR, CLEARLAKE, CA 95422-9085
(916) 517-3473
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/28/2023
Last updated
02/28/2023
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