Individual provider · Type 1 NPI

Conner John McKinzie

Mental Health Counselor · New York, NY

NPI number 1043025695 Active

Practice location

107 W 82nd St # LLP101
New York, NY 10024-5511

Call (646) 389-4112 Map

Mailing address

310 Saint Nicholas Ave
Brooklyn, NY 11237-6566

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XP127394 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1043025695

Conner John McKinzie's National Provider Identifier is 1043025695, issued on Feb 11, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in New York, NY. The record was last updated on Aug 8, 2025.