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General NPI Number Information
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NPI Number | 1821616236
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Entity Type | Individual
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Provider Name | MS. SHAKIRRA MCKINLEY
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Gender | Female
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Dates
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Enumeration Date | 07/13/2020
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Last Update Date | 03/24/2025
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Provider Practice Location Address
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Address Line | 205 HUDSON ST
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City | NEW YORK
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State | NY
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Zip | 10013-1803
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Country | US
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Telephone | 914-619-8534
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Fax |
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Provider Business Mailing Address
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Address Line | 7470 WESTLAKE TER
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City | BETHESDA
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State | MD
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Zip | 20817-6502
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Country | US
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Telephone | 914-619-8534
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 015848
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License Number State | NY
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