Individual
AMBRIEL KINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
612 SADDLE CREEK DR, OXFORD, MS 38655-8188
(662) 809-6397
Mailing address
612 SADDLE CREEK DR, OXFORD, MS 38655-8188
(662) 809-6397
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C10613
MS
1041C0700X
Clinical Social Worker
9373
TN
1041C0700X
Clinical Social Worker
Primary
C10613
MS
Other
Enumeration date
07/06/2023
Last updated
12/20/2024
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