Individual
MRS. JANINE ELANE KINNISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
1100 W 21ST ST, CLOVIS, NM 88101
(505) 769-2345
Mailing address
1100 W 21ST ST, CLOVIS, NM 88101-4151
(505) 693-5075
(505) 769-8974
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/25/2006
Last updated
11/15/2017
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