Individual provider · Type 1 NPI
Andrew Jefferson Kincade, BS
Addiction (Substance Use Disorder) Counselor · Mountain Home, TN
NPI number
1376576819
Active
Practice location
Sidney & Lamont St., James H. Quillen Vamc
Mountain Home, TN 37684
Fax (423) 979-3447
Mailing address
701 Judith Dr
Johnson City, TN 37604-1924
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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Other addiction (substance use disorder) counselor providers in Mountain Home
About NPI 1376576819
Andrew Jefferson Kincade, BS's National Provider Identifier is 1376576819, issued on Jul 8, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Mountain Home, TN. The record was last updated on Jul 8, 2007.