Provider Demographics
NPI:1124017231
Name:KINDER, DEBORAH DIANE (LCP LMCP)
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:DIANE
Last Name:KINDER
Suffix:
Gender:F
Credentials:LCP LMCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2238 REDWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:EMPORIA
Mailing Address - State:KS
Mailing Address - Zip Code:66801-5915
Mailing Address - Country:US
Mailing Address - Phone:620-340-9731
Mailing Address - Fax:
Practice Address - Street 1:8 W 8TH AVE
Practice Address - Street 2:
Practice Address - City:EMPORIA
Practice Address - State:KS
Practice Address - Zip Code:66801-2904
Practice Address - Country:US
Practice Address - Phone:620-340-9731
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSLPC#105 LMLP292101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health