Individual
MR. PATRICK B. KINNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED., LCMHC
Contact information
Practice address
86 LAKE ST, BURLINGTON, VT 05401-5297
(802) 865-3450
(802) 860-5011
Mailing address
86 LAKE ST, BURLINGTON, VT 05401-5297
(802) 865-3450
(802) 860-5011
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068-0000739
VT
Other
Enumeration date
02/17/2011
Last updated
02/17/2011
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