Individual
ANTOINETTE KINCAID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2304 BARDIN RD, SUITE 202, GRAND PRAIRIE, TX 75052-3850
(682) 304-3555
Mailing address
1809 HOLLY SPRING DR, ARLINGTON, TX 76018-4927
(682) 304-3555
(817) 472-4252
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
69155
TX
101YM0800X
Mental Health Counselor
69155
TX
101YP2500X
Professional Counselor
Primary
69155
TX
Other
Enumeration date
11/25/2014
Last updated
11/25/2014
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