| Doctor Name: | ELLEN KINSER |
| NPI Number: | 1043553530 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | LPC 88447 |
| Business Practice Address: | 209 Barium Springs Dr Statesville, NC - 286776238 |
| Business Phone Number: | 7048731011 |
| Business Fax Number: | 7048322253 |
| Mailing Address: | Po Box 1, BARIUM SPRINGS |
| State: | NC |
| Postal Code: | 280100001 |
| Phone Number: | 7048721011 |
| Fax Number: | 7048322253 |
| NPI Enumeration Date: | 04/03/2013 |
| NPI Last Update Date: | 04/03/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | LPC 88447 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |