Individual
RICHARD ALEXANDER MCKINLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1327 E BROADWAY ST STE B, CAMPBELLSVILLE, KY 42718-1599
(270) 283-4240
Mailing address
107 CRANES ROOST CT, ELIZABETHTOWN, KY 42701-3650
(270) 765-2605
(270) 234-8572
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
245620
KY
Other
Enumeration date
09/24/2013
Last updated
09/11/2020
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