# MARY PERKINS KINKEN, DMIN,LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457627077
- **Authorized official:** MARY KINKEN DMIN (THERAPIST)
- **Authorized official phone:** (704) 560-0525

## Contact information

- **Practice address:** 8806 GLENSIDE ST, HUNTERSVILLE, NC 28078-5634
- **Practice address phone:** (704) 560-0525
- **Mailing address:** PO BOX 3506, HUNTERSVILLE, NC 28070-3506

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP1600X | Pastoral Counselor | 73 | NC | Yes |

## Other

- **Enumeration date:** 03/28/2012
- **Last updated:** 03/28/2012