Individual
CRYSTAL MONIQUE MCKINLEY X
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1865 9TH ST, SANTA MONICA, CA 90404
(310) 314-6200
Mailing address
909 PICO BLVD, SANTA MONICA, CA 90405-1326
(310) 314-6200
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/04/2019
Last updated
10/22/2019
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