Individual
GWENDOLYN Y MCKINNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1875 N PARIS AVE, PORT ROYAL, SC 29935-2029
(843) 379-9600
Mailing address
401 BALL PARK RD, SAINT HELENA ISLAND, SC 29920-5417
(980) 215-4870
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
SC
Other
Enumeration date
04/02/2020
Last updated
04/02/2020
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