Individual provider · Type 1 NPI
Constance Lou Kirk, L.P.C.C.-S
Mental Health Counselor · Georgetown, OH
NPI number
1356596258
Active
Practice location
149 Hamer Rd
Georgetown, OH 45121-9497
Mailing address
104 Lakewood Ln
Georgetown, OH 45121-9037
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 071010 (OH) |
| Mental Health Counselor Primary | 101YM0800X | E0008453 (OH) |
Mental Health Counselor: Definition to come...
Other mental health counselor providers in Georgetown
About NPI 1356596258
Constance Lou Kirk, L.P.C.C.-S's National Provider Identifier is 1356596258, issued on Nov 20, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Georgetown, OH. The record was last updated on Nov 20, 2008.