Individual provider · Type 1 NPI

Jerry Kinchen Jr.

Professional Counselor · Mansfield, LA

NPI number 1386149896 Active

Practice location

809 Polk St
Mansfield, LA 71052-2452

Mailing address

10732 S Mall Dr Apt 625
Baton Rouge, LA 70809-4817

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC8335 (LA)

Professional Counselor: Definition to come...

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About NPI 1386149896

Jerry Kinchen Jr.'s National Provider Identifier is 1386149896, issued on Mar 27, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Mansfield, LA. The record was last updated on Mar 5, 2024.