Provider Demographics
NPI:1861612434
Name:KINNER, DONALD R (MA LPC LMFT)
Entity type:Individual
Prefix:
First Name:DONALD
Middle Name:R
Last Name:KINNER
Suffix:
Gender:M
Credentials:MA LPC LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 EVERHART RD
Mailing Address - Street 2:STE D 21
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78411
Mailing Address - Country:US
Mailing Address - Phone:361-814-4488
Mailing Address - Fax:361-814-0143
Practice Address - Street 1:700 EVERHART RD
Practice Address - Street 2:STE D 21
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411
Practice Address - Country:US
Practice Address - Phone:361-814-4488
Practice Address - Fax:361-814-0143
Is Sole Proprietor?:No
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX24122101YA0400X
TXLPC10755101YP2500X
TXLMFT000157106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist