Provider Demographics
NPI:1982820361
Name:MCKINLEY, KURT (MA, LPC)
Entity Type:Individual
Prefix:MR
First Name:KURT
Middle Name:
Last Name:MCKINLEY
Suffix:
Gender:M
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 912
Mailing Address - Street 2:
Mailing Address - City:HACKETTSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07840-0912
Mailing Address - Country:US
Mailing Address - Phone:908-852-5015
Mailing Address - Fax:908-852-6886
Practice Address - Street 1:43 NEWBURGH RD
Practice Address - Street 2:SUITE 403
Practice Address - City:HACKETTSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07840-3900
Practice Address - Country:US
Practice Address - Phone:908-852-5015
Practice Address - Fax:908-852-6886
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2008-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00103600101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional