Individual
JEANNIE KINZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
4300 OLD SCIOTO TRL, PORTSMOUTH, OH 45662-6642
(740) 351-9298
(740) 529-0553
Mailing address
29084 US 23 HWY APT 4, SOUTH SHORE, KY 41175-9727
(740) 935-8860
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
178583
OH
Other
Enumeration date
11/08/2021
Last updated
11/08/2021
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