Individual provider · Type 1 NPI

Mario Dewayne Kirk, LPC

Mental Health Counselor · Oceanside, CA

NPI number 1265611024 Active

Practice location

1738 S Tremont St
Oceanside, CA 92054-5309

Call (760) 439-2800 Map

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X3912 (OK)
Counselor 101Y00000X3912 (OK)
School Counselor 101YS0200X3912 (OK)
Mental Health Counselor Primary 101YM0800XPSB94023546 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1265611024

Mario Dewayne Kirk, LPC's National Provider Identifier is 1265611024, issued on Oct 29, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Oceanside, CA. The record was last updated on Jan 4, 2019.