Provider Demographics
NPI:1942516984
Name:SINCAVAGE, KELLY M (MS, NCC, LPCA)
Entity Type:Individual
Prefix:
First Name:KELLY
Middle Name:M
Last Name:SINCAVAGE
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Gender:F
Credentials:MS, NCC, LPCA
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Mailing Address - Street 1:1557 WINCHESTER AVE
Mailing Address - Street 2:SUITE2
Mailing Address - City:ASHLAND
Mailing Address - State:KY
Mailing Address - Zip Code:41101-7636
Mailing Address - Country:US
Mailing Address - Phone:606-329-9333
Mailing Address - Fax:606-329-0468
Practice Address - Street 1:1557 WINCHESTER AVE
Practice Address - Street 2:SUITE2
Practice Address - City:ASHLAND
Practice Address - State:KY
Practice Address - Zip Code:41101-7636
Practice Address - Country:US
Practice Address - Phone:606-329-9333
Practice Address - Fax:606-329-0468
Is Sole Proprietor?:No
Enumeration Date:2010-08-27
Last Update Date:2013-09-03
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health