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Diedra Y Kinne
Peer Specialist in Fredonia, Arizona
NPI 1275917379

Diedra Y Kinne is a Peer Specialist based in Fredonia, AZ. Diedra Y Kinne practices in Fredonia, AZ. The NPI Number for Diedra Y Kinne is 1275917379 and holds a License No. 4750887 (Arizona).

The current practice location address for Diedra Y Kinne is 240 West Jensen St., Fredonia, AZ and can be reached out via phone at 928-925-0388.

Location: 240 West Jensen St., Fredonia, AZ, 86022
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275917379
Provider Name
Diedra Y Kinne
Credential
Provider Entity Type
Individual
Gender
Female
Address
240 West Jensen St., Fredonia, AZ, 86022
Phone Number
928-925-0388
Fax Number
Provider Enumeration Date
07/17/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
240 West Jensen St.
City
Fredonia
State
Arizona
Zip
86022-0491
Phone Number
928-925-0388
Fax Number
person
Provider Business Mailing Address Details
Address
240 West Jensen St.
City
Fredonia
State
Arizona
Zip
86022-0491
Phone Number
928-925-0388
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
4750887 (Arizona)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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