Individual
PATRICK MCKINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
803 TIJERAS AVE NW, ALBUQUERQUE, NM 87102-3096
(505) 243-2223
Mailing address
8310 KRIM DR NE, ALBUQUERQUE, NM 87109-5228
(505) 730-0961
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
193400000X
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
87177056
—
NM
Enumeration date
03/13/2018
Last updated
03/13/2018
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