Provider Demographics
NPI:1417110941
Name:KINNINGER, DIONNE (PCC)
Entity Type:Individual
Prefix:
First Name:DIONNE
Middle Name:
Last Name:KINNINGER
Suffix:
Gender:F
Credentials:PCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1665 TIFFIN AVE
Mailing Address - Street 2:SUITE F
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45840-6853
Mailing Address - Country:US
Mailing Address - Phone:419-348-9511
Mailing Address - Fax:
Practice Address - Street 1:1665 TIFFIN AVE
Practice Address - Street 2:SUITE F
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840-6853
Practice Address - Country:US
Practice Address - Phone:419-348-9511
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-03
Last Update Date:2008-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE3560101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional