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NPI Code Detail

MEDICARE: MS. DESMA MCKINNEY LPC, LADC

MEDICARE: MS. DESMA MCKINNEY LPC, LADC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor3952OK

General Provider Information

NPI Number : 1871612911
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DESMA MCKINNEY LPC, LADC
Provider Business Mailing Address
First Line : 3000 N GRAND BLVD
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73107-1818
Country : US
Telephone Number : 405-632-6688
Fax Number :
Provider Business Practice Location Address
First Line : 500 SW 44TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73109-3540
Country : US
Telephone Number : 405-632-6688
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2007
Last Update Date : 03/29/2024

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