Individual
KIRKLIN KINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, PS, ADCII
Contact information
Practice address
5801 E BOGARD RD, WASILLA, AK 99654-4267
(907) 352-3252
(907) 352-3373
Mailing address
1363 W SPRUCE AVE, WASILLA, AK 99654-5327
(907) 376-2411
(907) 352-3363
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
141946
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
141946
STATE OF ALASKA
AK
Enumeration date
04/08/2020
Last updated
08/22/2023
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