Individual
MR. MICHAEL KINCADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCAC
Contact information
Practice address
3 CLEARVIEW CIR, MOSELLE, MS 39459-9520
(601) 544-1499
(601) 544-8464
Mailing address
PO BOX 18679, HATTIESBURG, MS 39404-8679
(601) 705-1901
(601) 705-1952
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0103
MS
Other
Enumeration date
03/22/2012
Last updated
03/22/2012
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