Individual
GLORIA JEAN KINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.C., C.R.C
Contact information
Practice address
3095 KETTERING BLVD, MORAINE, OH 45439-1983
(937) 293-8300
Mailing address
145 ROSEWOOD DR, SPRINGBORO, OH 45066-1598
(937) 274-6088
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
210789
—
101YP2500X
Professional Counselor
Primary
C.1700840
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
210789
COMMISSION ON REHABILITATION COUNSELOR CERTIFICATION
—
01
—
C.1700840
CSWMFT BOARD
OH
Enumeration date
11/15/2022
Last updated
02/28/2025
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