Individual
DORIS MCKINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
E.D.D.,LPC,MA,LBSW
Contact information
Practice address
16600 LAWTON ST, DETROIT, MI 48221-3323
(313) 345-4665
(313) 345-4885
Mailing address
16600 LAWTON ST, DETROIT, MI 48221-3323
(313) 345-4665
(313) 345-4885
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401003073
MI
1041C0700X
Clinical Social Worker
682001046
MI
Other
Enumeration date
10/31/2016
Last updated
01/20/2022
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