Individual
ELIZABETH MARIE KINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
436 MAIN ST, FOREST CITY, PA 18421-1420
(570) 780-2366
Mailing address
207 CRAIG ST, ELMHURST TOWNSHIP, PA 18444-8518
(570) 470-1051
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/21/2020
Last updated
12/21/2020
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