Provider Demographics
NPI:1073104931
Name:KINCH, CONNIE (LMHC)
Entity type:Individual
Prefix:
First Name:CONNIE
Middle Name:
Last Name:KINCH
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:146 BARRETT ST STE 2
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12305-2004
Mailing Address - Country:US
Mailing Address - Phone:518-952-9290
Mailing Address - Fax:518-952-9291
Practice Address - Street 1:146 BARRETT ST STE 2
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12305-2004
Practice Address - Country:US
Practice Address - Phone:518-952-9290
Practice Address - Fax:518-952-9291
Is Sole Proprietor?:No
Enumeration Date:2021-02-02
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002781101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health