David Allen Kinzer, MCOUN
Counselor, Professional in Lebanon, TN. Individual provider (NPI-1).
NPI number1780109538
StatusActive
Last updated in NPPESMay 8, 2020
Details
- NPI
- 1780109538
- Entity type
- Individual (NPI-1)
- Name
- Mr. David Allen Kinzer
- Credential
- MCOUN
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 13, 2017
- Certification date
- May 8, 2020
- Last updated
- May 8, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | – | OR | Yes |
Practice location
1922 Arlington RdLebanon, TN 37087-4224
Phone 541-280-7822
Mailing address
1922 Arlington RdLebanon, TN 37087-4224
Phone 541-280-7822
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