| Doctor Name: | KANDYS RENEE' MCKINLEY |
| NPI Number: | 1023455128 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MED, LPC, LSOTP |
| License Number: | 67361 |
| Business Practice Address: | 2147 Diamond Crest Dr Missouri City, TX - 774893285 |
| Business Phone Number: | 8328168444 |
| Business Fax Number: | |
| Mailing Address: | 9896 Bissonnet St Ste 131, HOUSTON |
| State: | TX |
| Postal Code: | 770368104 |
| Phone Number: | 8327059208 |
| Fax Number: | |
| NPI Enumeration Date: | 05/29/2013 |
| NPI Last Update Date: | 07/01/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 67361 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |