Individual
ANITA SUE KINCAID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
2412 PROFESSIONAL DR, ROSEVILLE, CA 95661-7773
(916) 784-7532
Mailing address
2412 PROFESSIONAL DR, ROSEVILLE, CA 95661-7773
(916) 784-7532
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFC 41339
CA
Other
Enumeration date
08/10/2013
Last updated
08/10/2013
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