Individual
CAROLYN MCKINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
64A LONGFELLOW RD, MILL VALLEY, CA 94941-1591
(415) 450-8431
Mailing address
64A LONGFELLOW RD, MILL VALLEY, CA 94941-1591
(415) 450-8431
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
MO4122271219
CA
Other
Enumeration date
04/17/2016
Last updated
04/17/2016
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