Provider Demographics
NPI:1457836074
Name:MCKINNEY, KAREN ANN (LSW, CADC-I)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:ANN
Last Name:MCKINNEY
Suffix:
Gender:F
Credentials:LSW, CADC-I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3247 SUSILEEN DR
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-3859
Mailing Address - Country:US
Mailing Address - Phone:775-247-4295
Mailing Address - Fax:
Practice Address - Street 1:860 TYLER WAY
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89431-2172
Practice Address - Country:US
Practice Address - Phone:775-356-0371
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-28
Last Update Date:2018-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)