Individual
ANDREA MCKINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CG60887456
Contact information
Practice address
1201 S PROCTOR ST, TACOMA, WA 98405-2047
(253) 396-5015
Mailing address
10506 IRENE AVE SW, LAKEWOOD, WA 98499-4739
(253) 307-6212
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
WA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
08/16/2018
Last updated
11/29/2018
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