Individual
LATRESE D. KINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT-A
Contact information
Practice address
208 WEXFORD DR, TAYLORS, SC 29687-4232
(312) 208-4956
Mailing address
3575 RUTHERFORD ROAD EXT STE B, TAYLORS, SC 29687-2168
(642) 438-0988
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT7541
SC
Other
Enumeration date
11/02/2020
Last updated
06/28/2021
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