# KINCIE FARNELL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1093172470
- **Gender:** F
- **Credential:** CERTIFIED ADDICTION

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | CMHP100035 | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | ADC-000245-2014 | FL | Yes |
| 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