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KAREN L MCKINLEY PSY D LCSW LMFT

Addiction Substance Use Disorder

Portsmouth, Virginia

Provider NPI: 1043205073

Provider Information:
 KAREN L MCKINLEY PSY D LCSW LMFT
Gender: F
Not Sole Proprietor

Practice Location:
3300 ACADEMY AVE ACADEMY CROSSING MEDICAL PLAZA PORTSMOUTH, VA 23703 US
Tel: 757-483-6404  Fax: 757-483-0737

Business Mailing Address:
3300 ACADEMY AVE ACADEMY CROSSING MEDICAL PLAZA PORTSMOUTH, VA 23703 US
Tel: 757-483-6404  Fax: 757-483-0737

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
VA0718000070
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
VA0904000079
N106H00000XBehavioral Health & Social Service Providers
Marriage & Family Therapist
VA0717000902

Other Provider Identifiers:

IssuerNumberStateType
ANTHEM090573VA01
8902976VA05
SENTARA08072SVA01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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