Mark Gregory Kinnaman, CADC

NPI #1053637215 in Council Bluffs, Iowa

Provider Information

NPI Number
1053637215
Entity Type
Individual
Name
Mark Gregory Kinnaman, CADC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
CADC
Enumeration Date
Apr 13, 2010
Last Updated
Apr 13, 2010

Practice Location

Address
933 E PIERCE ST
State
Iowa
ZIP Code
51503-4626
Phone
(712) 396-4387

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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