MRS. Tanya Lynn Ann Kinkead, PLPC

NPI #1174374987 in Fredericktown, Missouri

Provider Information

NPI Number: 1174374987
Entity Type: Individual
Name: MRS. Tanya Lynn Ann Kinkead, PLPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: PLPC
Enumeration Date: Mar 29, 2024
Last Updated: Sep 13, 2024

Practice Location

Address: 309 GARRETT ST
City: Fredericktown
State: Missouri
ZIP Code: 63645-1084
Phone: (573) 783-4104

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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