Individual ProviderDestaney MckinnieCounselorBehavioral Health & Social Service ProvidersPractice Address1149 N El Dorado St, Stockton, CA 95202-1305(209) 468-2337PECOS EnrollmentBased on the most recent information from CMS, provider Destaney Mckinnie does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1811202344Provider TypeIndividualFull NameMckinnie, DestaneyGenderFemaleSole ProprietorNoEnumeration Date8/9/2010Last Updated8/9/2010Contact InformationPractice LocationPractice Address1149 N El Dorado St, Stockton, CA 95202-1305Phone(209) 468-2337FaxUnlisted FaxMailing LocationMailing Address1149 N El Dorado St, Stockton, CA 95202-1305Phone(209) 468-2337FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer