Individual provider · Type 1 NPI

Corey Kinne, LMHC 12996

Mental Health Counselor · Somerville, MA

NPI number 1689104697 Active

Practice location

111 South St
Somerville, MA 02143-4297

Mailing address

746 South St
Waltham, MA 02453-1422

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X12996 (MA)
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1689104697

Corey Kinne, LMHC 12996's National Provider Identifier is 1689104697, issued on Jun 13, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Somerville, MA. The record was last updated on Dec 4, 2023.