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MARY PERKINS KINKEN M.DIV. D.MIN. NPI 1780610436


NPI Information

NPI: 1780610436
Provider Name: MARY PERKINS KINKEN, M.DIV., D.MIN.
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
452 S MAIN ST STE C
DAVIDSON, NC
ZIP 28036
Phone: (704) 560-0525
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Mary Perkins Kinken, M.DIV., D.MIN. is a counselor in Davidson, NC. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Mary Perkins Kinken, M.DIV., D.MIN. NPI is 1780610436. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

452 S MAIN ST STE C
DAVIDSON, NC
ZIP 28036-058
Phone: (704) 560-0525

The enumeration date for this NPI number is 6/24/2006 and was last updated on 2/9/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselorYes
2101Y00000XCounselor0073NORTH CAROLINANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11780610436OTHERNORTH CAROLINANPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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