Provider Demographics
NPI:1659736387
Name:KINLOCH, THOMAS (MA, LCADC)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:
Last Name:KINLOCH
Suffix:
Gender:M
Credentials:MA, LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 COLLINS RD
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08619-4319
Mailing Address - Country:US
Mailing Address - Phone:908-783-2614
Mailing Address - Fax:
Practice Address - Street 1:38 COLLINS RD
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08619-4319
Practice Address - Country:US
Practice Address - Phone:908-783-2614
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-23
Last Update Date:2021-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor