Individual
VICKY KINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAMFT, M.ED.
Contact information
Practice address
8660 FERNMONT RD, LAKE SHORE, MN 56468-2504
(218) 963-2122
Mailing address
8660 FERNMONT RD, LAKE SHORE, MN 56468-2504
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2797
MN
Other
Enumeration date
02/10/2014
Last updated
02/10/2014
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