Individual provider · Type 1 NPI
Brent Logan Kirby, MA
Pastoral Counselor · Summitville, IN
NPI number
1154097111
Active
Practice location
17345 N 150 E
Summitville, IN 46070-9121
Mailing address
PO Box 305
Summitville, IN 46070-0305
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pastoral Counselor Primary | 101YP1600X | None listed |
Pastoral Counselor: Definition to come...
About NPI 1154097111
Brent Logan Kirby, MA's National Provider Identifier is 1154097111, issued on Aug 19, 2021. The primary taxonomy on file is Pastoral Counselor (101YP1600X), and the practice location is in Summitville, IN. The record was last updated on Aug 19, 2021.