Individual provider · Type 1 NPI

Makala Kinnicutt

Mental Health Counselor · Elmira, NY

NPI number 1740065671 Active

Practice location

1019 E Water St
Elmira, NY 14901-3332

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1740065671

Makala Kinnicutt's National Provider Identifier is 1740065671, issued on Aug 29, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Elmira, NY. The record was last updated on Aug 29, 2023.