Individual
JACQUELINE ANN-MARIE KINCANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12470 STARCREST DR APT 413, SAN ANTONIO, TX 78216-2979
(210) 929-0895
Mailing address
12470 STARCREST DR APT 413, SAN ANTONIO, TX 78216-2979
(210) 929-0895
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/03/2025
Last updated
01/03/2025
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