MARK GREGORY KINNAMAN

COUNCIL BLUFFS, IA
NPI1053637215
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2010-04-13
Last Update Date2010-04-13
Business Address
-- MARK GREGORY KINNAMAN CADC
933 E PIERCE ST
COUNCIL BLUFFS, IA 51503-4626
Phone number: 712-396-4387
Mailing Address
-- MARK GREGORY KINNAMAN CADC
933 E PIERCE ST
COUNCIL BLUFFS, IA 51503-4626
Phone number: 712-396-4387
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