Individual provider · Type 1 NPI
Tony Yung Kirkman, LCPC
Professional Counselor · St. Joseph, IL
NPI number
1104198621
Active
Practice location
204 N Main St, Suite 203
St. Joseph, IL 61873-9355
Fax (217) 469-2568
Mailing address
785 Jacobs Way
Forsyth, IL 62535-8903
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 180006897 (IL) |
Professional Counselor: Definition to come...
2 other providers at this address
Other professional counselor providers in St. Joseph
About NPI 1104198621
Tony Yung Kirkman, LCPC's National Provider Identifier is 1104198621, issued on Jan 30, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in St. Joseph, IL. The record was last updated on Jan 30, 2012.