Individual
COREY KINNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC 12996
Contact information
Practice address
111 SOUTH ST, SOMERVILLE, MA 02143-4297
(781) 752-7064
Mailing address
746 SOUTH ST, WALTHAM, MA 02453-1422
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
12996
MA
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/13/2017
Last updated
12/04/2023
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