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General NPI Number Information
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NPI Number | 1568350346
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Entity Type | Organization
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Legal Business Name | AMBER MCKINNEY LICENSED CLINICAL SOCIAL WORKER PROFESSIONAL CORP.
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Dates
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Enumeration Date | 06/27/2025
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Last Update Date | 10/29/2025
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Provider Practice Location Address
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Address Line | 6030 SANTO RD. STE. 1 #420605
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City | SAN DIEGO
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State | CA
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Zip | 92124
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Country | US
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Telephone | 619-292-8146
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Fax |
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Provider Business Mailing Address
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Address Line | 4257 CARTULINA RD
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City | SAN DIEGO
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State | CA
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Zip | 92124-2701
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Country | US
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Telephone | 619-564-0806
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | AMBER MCKINNEY-MORGAN
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Credential | LCSW
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Telephone | 619-292-8146
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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