TONY MCKINNON

WINSTON SALEM, NC
NPI1710222831
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC  2408-A)
Enumeration Date2012-11-29
Last Update Date2012-11-29
Business Address
-- TONY MCKINNON LCAS-A
3720 VEST MILL RD
WINSTON SALEM, NC 27103-2912
Phone number: 336-659-6135
Mailing Address
-- TONY MCKINNON LCAS-A
3720 VEST MILL RD
WINSTON SALEM, NC 27103-2912
Phone number: 336-659-6135
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