Individual
CASEY ERIN MCKINNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
10204 KENDAL CT, YUKON, OK 73099-7879
(405) 795-9636
Mailing address
10204 KENDAL CT, YUKON, OK 73099-7879
(405) 795-9636
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
7386
OK
101YM0800X
Mental Health Counselor
Primary
7386
OK
Other
Enumeration date
12/16/2019
Last updated
06/02/2023
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