Individual
GWENDOLYN KING KINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6836 BEE CAVES RD STE 254, AUSTIN, TX 78746-5059
(512) 695-3926
Mailing address
2306 CYPRESS POINT WEST, AUSTIN, TX 78746
(512) 695-3926
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
75275
TX
Other
Enumeration date
02/09/2018
Last updated
02/09/2018
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