MEDICARE: GEORGIA JOANNA KINSLOW LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	2025031817	MO

General Provider Information

NPI Number	:	1023941044
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GEORGIA JOANNA KINSLOW LPC

Provider Business Mailing Address
First Line	:	8225 COUNTY ROAD 300
Second Line	:
City	:	CARL JUNCTION
State	:	MO
Zip	:	64834-7106
Country	:	US
Telephone Number	:	417-540-5711
Fax Number	:

Provider Business Practice Location Address
First Line	:	8225 COUNTY ROAD 300
Second Line	:
City	:	CARL JUNCTION
State	:	MO
Zip	:	64834-7106
Country	:	US
Telephone Number	:	417-540-5711
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2026
Last Update Date	:	06/08/2026

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