Gary Scott Kinnear, LPC
Individual provider Active NPI Professional Counselor · New Wilmington, PA
NPI 1770920076 · NPPES record last updated May 28, 2013
Key facts
- NPI
- 1770920076
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- PC004570 (PA)
- Practice address
- 403 Deer Path LN
New Wilmington, PA 16142-3505 - Phone
- (724) 651-0335
- NPI assigned
- May 28, 2013
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC004570 | PA | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC004570 | PA | Yes |
Addresses
Primary practice location
403 Deer Path LN
New Wilmington, PA 16142-3505
Mailing address
403 Deer Path LN
New Wilmington, PA 16142-3505
Phone (724) 651-0335
Other providers in New Wilmington, PA
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- Human Services Center
- Natalie Imes
- Bethany Kaibas
- Margaret J. Kaufman
- Monica Kurucz
- Jillian Legnosky
- Elizabeth Mattocks
- Maybrook-C Overlook Opco, LLC
- Linda Grace McCracken
All providers in New Wilmington, PA · Professional Counselor in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 28, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.