Sean R Mckinnon | North Andover, MA • PECOS Search

Sean R Mckinnon

Counselor

Behavioral Health & Social Service Providers

857 Turnpike St, Suite 136, North Andover, MA 01845-6140

PECOS Enrollment

Based on the most recent information from CMS, provider Sean R Mckinnon does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records today at 11:47 AM.

Profile Details

Provider ID
1457410219
Provider Type
Individual
Full Name
Mckinnon, Sean R
Title
Mr.
Credential
M.ED

Gender
Male
Sole Proprietor
Yes
Enumeration Date
12/7/2006
Last Updated
5/13/2010

Contact Information

Practice Location

857 Turnpike St, Suite 136, North Andover, MA 01845-6140

Unlisted Fax

Mailing Location

50 Grove St, Building #2, Salem, MA 01970-2263

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License 6513 Massachusetts