Individual
JONATHAN KINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
203 N GRAND ST, SALEM, MO 65560-1344
(573) 729-4103
(573) 729-4420
Mailing address
PO BOX 459, FARMINGTON, MO 63640-0459
(573) 756-5749
(573) 431-1673
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2016040024
MO
Other
Enumeration date
12/07/2011
Last updated
12/14/2016
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