Individual provider · Type 1 NPI

Debra Jean Kinninger, P.T.

Mental Health Counselor · San Rafael, CA

NPI number 1275727208 Active

Practice location

555 Northgate Dr, Family Service Agency Of Marin
San Rafael, CA 94903-3680

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1275727208

Debra Jean Kinninger, P.T.'s National Provider Identifier is 1275727208, issued on Sep 4, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Rafael, CA. The record was last updated on Sep 4, 2007.