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MR. ANDREW JEFFERSON KINCADE BS

Addiction Substance Use Disorder

Mountain Home, Tennessee

Provider NPI: 1376576819

Provider Information:
MR. ANDREW JEFFERSON KINCADE BS
Gender: M
Sole Proprietor


Practice Location:
SIDNEY & LAMONT ST. JAMES H. QUILLEN VAMC MOUNTAIN HOME, TN 37684 US
Tel: 423-979-2946  Fax: 423-979-3447

Business Mailing Address:
701 JUDITH DR  JOHNSON CITY, TN 37604 US
Tel: 423-979-2946  Fax: 423-979-3447

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)









ADDICTION JOBS TN - Page 1

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