Individual
MRS. LISA LYNN KINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
2979 VICTORIA STREET, QUAD CITIESVA OUTPATIENT CLINIC, BETTENDORF, IA 52722
(563) 599-9982
Mailing address
601 HIGHWAY 6 WEST, VA HOSPITAL, IOWA CITY, IA 52246-2208
(563) 599-9982
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
178.003182
IL
Other
Enumeration date
09/19/2008
Last updated
09/19/2008
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