Individual
MRS. ELIZABETH A KINARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
31 STATE RT 23 N, HAMBURG, NJ 07419-1419
(973) 209-9085
(815) 233-6167
Mailing address
2679 W FOREST RD, FREEPORT, IL 61032-9472
(815) 233-6162
(815) 233-6167
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00223700
NJ
101YP2500X
Professional Counselor
PC001943
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0021091
—
NJ
Enumeration date
11/29/2006
Last updated
07/09/2007
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