Individual provider · Type 1 NPI

Michael Kincade, LCAC

Addiction (Substance Use Disorder) Counselor · Moselle, MS

NPI number 1942576012 Active

Practice location

3 Clearview Cir
Moselle, MS 39459-9520

Call (601) 544-1499 Map

Fax (601) 544-8464

Mailing address

PO Box 18679
Hattiesburg, MS 39404-8679

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X0103 (MS)

Addiction (Substance Use Disorder) Counselor: Definition to come...

15 other providers at this address

Other addiction (substance use disorder) counselor providers in Moselle

See all in Moselle →

About NPI 1942576012

Michael Kincade, LCAC's National Provider Identifier is 1942576012, issued on Mar 22, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Moselle, MS. The record was last updated on Mar 22, 2012.