Individual
ERICA NICOLE MCKINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 777-7700
(414) 955-0114
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 777-7700
(414) 955-0114
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
1769226
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
16672130
WI
103T00000X
Psychologist
Primary
5188
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100030126
—
WI
Enumeration date
06/04/2013
Last updated
11/14/2024
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