Individual provider · Type 1 NPI

Shannon Kirk

Mental Health Counselor · Orlando, FL

NPI number 1295398204 Active

Practice location

1800 Mercy Dr
Orlando, FL 32808-5646

Fax (407) 659-0411

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XMH19711 (FL)
Mental Health Counselor Primary 101YM0800XMH19711 (FL)

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About NPI 1295398204

Shannon Kirk's National Provider Identifier is 1295398204, issued on Apr 16, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Orlando, FL. The record was last updated on Mar 11, 2024.