Individual
KELLIE O'LEARY MCKINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LCPC
Contact information
Practice address
2401 E NORTH AVE, BALTIMORE, MD 21213-1517
(410) 675-2113
(410) 675-2115
Mailing address
4319 LASALLE AVE, BALTIMORE, MD 21206-4234
(410) 585-4525
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC5636
MD
Other
Enumeration date
04/22/2014
Last updated
04/22/2014
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