| Doctor Name: | MRS. MARILYN ELIZABETH KINCADE |
| NPI Number: | 1295804086 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC, NCC |
| License Number: | NCC #9091 |
| Business Practice Address: | Rr 1, Box 35d Boley, OK - 74829 |
| Business Phone Number: | 9186673367 |
| Business Fax Number: | 9186673387 |
| Mailing Address: | 131 E 17th St, WEWOKA |
| State: | OK |
| Postal Code: | 748843906 |
| Phone Number: | 4052576863 |
| Fax Number: | |
| NPI Enumeration Date: | 11/07/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | NCC #9091 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OK |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |