Individual
REBECCA LEIGH KINNIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHCP
Contact information
Practice address
3176 ABBOTT RD STE 500, ORCHARD PARK, NY 14127-1069
(716) 822-2117
(716) 822-8165
Mailing address
66 ALYS DR E, DEPEW, NY 14043-1403
(716) 715-2643
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/30/2015
Last updated
09/30/2015
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