Individual provider · Type 1 NPI
Kirby Kaczor, LPCC
Counselor · White Bear Lake, MN
NPI number
1003679234
Active
Practice location
2025 4th St Ste 100
White Bear Lake, MN 55110-2875
Other practice locations
- 4432 Chicago Ave Ste 1, Minneapolis, MN 55407-3521 · (612) 870-2454
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | 4263 (MN) |
Counselor: 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's degree and clinical experience and supervision for licensure or certification.
4 other providers at this address
- Christina Castaneda, LPCProfessional Counselor White Bear Lake, MN NPI 1114611563
- Lauren A. RobbinsMental Health Counselor White Bear Lake, MN NPI 1962824664
- Lauren BruyereProfessional Counselor White Bear Lake, MN NPI 1821952359
- Maria Isabella Heaney, MA, LPCCMental Health Counselor White Bear Lake, MN NPI 1295667343
Other counselor providers in White Bear Lake
About NPI 1003679234
Kirby Kaczor, LPCC's National Provider Identifier is 1003679234, issued on Jan 31, 2024. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in White Bear Lake, MN. The record was last updated on Jan 31, 2024.