Individual
BENJAMIN T. MCKINNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
550 S VERMONT AVE, LOS ANGELES, CA 90020-1912
(800) 854-7771
Mailing address
550 S VERMONT AVE, LOS ANGELES, CA 90020-1912
(800) 854-7771
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW81432
CA
Other
Enumeration date
06/28/2012
Last updated
03/23/2021
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