Individual provider · Type 1 NPI
Kinsie Mahaffey Tate, LPC
Mental Health Counselor · Newport Beach, CA
NPI number
1942513619
Active
Practice location
1945 Port Dunleigh Cir
Newport Beach, CA 92660-6631
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | 9875 (CA) |
| Mental Health Counselor Primary | 101YM0800X | 4843 (OK) |
Mental Health Counselor: Definition to come...
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About NPI 1942513619
Kinsie Mahaffey Tate, LPC's National Provider Identifier is 1942513619, issued on Jul 22, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Newport Beach, CA. The record was last updated on Jul 18, 2024.