Provider Demographics
NPI:1598963738
Name:MCKEE, MISTY H
Entity Type:Individual
Prefix:MS
First Name:MISTY
Middle Name:H
Last Name:MCKEE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:360 22ND ST
Mailing Address - Street 2:#650
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94612-3019
Mailing Address - Country:US
Mailing Address - Phone:510-272-4794
Mailing Address - Fax:510-839-1849
Practice Address - Street 1:360 22ND ST
Practice Address - Street 2:#650
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94612-3019
Practice Address - Country:US
Practice Address - Phone:510-272-4794
Practice Address - Fax:510-839-1849
Is Sole Proprietor?:No
Enumeration Date:2007-07-10
Last Update Date:2007-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health