# MRS. JULIET C KINKADE-BLACK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1912253519
- **Gender:** F
- **Credential:** MFTI, PCCI

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | IMF76250 | CA | — |
| 101YM0800X | Mental Health Counselor | PCCI788 | CA | — |
| 106H00000X | Marriage & Family Therapist | 0181841 | NM | Yes |

## Other

- **Enumeration date:** 08/01/2012
- **Last updated:** 06/18/2024