Individual
MR. ANDREW JEFFERSON KINCADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
SIDNEY & LAMONT ST., JAMES H. QUILLEN VAMC, MOUNTAIN HOME, TN 37684
(423) 979-2946
(423) 979-3447
Mailing address
701 JUDITH DR, JOHNSON CITY, TN 37604-1924
(423) 979-2946
(423) 979-3447
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/08/2006
Last updated
07/08/2007
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