Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacqueline Ann-Marie Kincannon

Individual provider Mental Health Counselor · NPI 1265241293

Jacqueline Ann-Marie Kincannon is a Mental Health Counselor in San Antonio, Texas. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

12470 Starcrest Dr Apt 413
San Antonio, TX 78216-2979
Phone: (210) 929-0895
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1265241293
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 3, 2025
Last updated in NPPESJanuary 3, 2025
Certification dateJanuary 3, 2025

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