Individual
DESIREE PEARL MCKINNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSWA
Contact information
Practice address
13120 ANGEL OAK DRIVE, HUNTERSVILLE, NC 28078
(443) 366-9670
Mailing address
175 W FRANKLIN BLVD, GASTONIA, NC 28052-4145
(704) 915-0756
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
P018859
NC
1041C0700X
Clinical Social Worker
Primary
P018859
NC
Other
Enumeration date
05/08/2023
Last updated
06/14/2023
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