Jake Stewart Mckinney in Clemson - Counselor
Jake Stewart Mckinney - NPI 1124105572
Jake Stewart Mckinney is a Counselor in Clemson, South Carolina. Jake Stewart Mckinney practices all healthcare services and medical treatments related to Counselor. The NPI Number for Jake Stewart Mckinney is 1124105572. The last update date is 2007-07-08.
Jake Stewart Mckinney's current location address is 214 Keowee Trl, Clemson, South Carolina. You can contact this provider via phone number 8646549263. The mailing address for Jake Stewart Mckinney is 214 Keowee Trl, Clemson, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jake Stewart Mckinney |
|---|---|
| Address | 214 Keowee Trl, Clemson, South Carolina |
| Phone Number | 8646549263 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1124105572 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 214 Keowee Trl |
|---|---|
| City | Clemson |
| State | South Carolina (SC) |
| Post Code | 296311448 |
| Phone Number | 8646549263 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
| Licence No | 91 |
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Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe |
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What is the unique 10-digit identification code issued to Jake Stewart Mckinney by the Centers for Medicare & Medicaid Services?
The Jake Stewart Mckinney has been assigned the NPI (National Provider Identifier) 1124105572 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Jake Stewart Mckinney's facilities are geographically located?
The facilities of Jake Stewart Mckinney are physically situated at the following location: 214 Keowee Trl, Clemson, SC, 296311448.
What is Jake Stewart Mckinney's area of expertise and its corresponding taxonomy classification?
The Jake Stewart Mckinney's field of specialization is Counselor, and it falls under the taxonomy code 101Y00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Jake Stewart Mckinney receive its 1124105572 assignment from the Centers for Medicare & Medicaid Services?
The Jake Stewart Mckinney was assigned its 1124105572 by the Centers for Medicare & Medicaid Services on 2006-11-01.
As of what date were the details related to Jake Stewart Mckinney most recently updated or revised?
The information pertaining to Jake Stewart Mckinney, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.