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Individual
KINCIE FARNELL
Active
Individual
KINCIE FARNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CERTIFIED ADDICTION
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CMHP100035
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ADC-000245-2014
FL
101YM0800X
Mental Health Counselor
CMHP100035
FL
101YP2500X
Professional Counselor
CMHP100035
FL
405300000X
Prevention Professional
803868
FL
Other
Enumeration date
01/15/2016
Last updated
06/10/2021
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