Individual provider · Type 1 NPI

Kirby O'Brien, MA, NCC, LPC

Professional Counselor · Washington, IL

NPI number 1457996324 Active

Practice location

1003 N Cummings Ln
Washington, IL 61571-9646

Mailing address

722 Mallard Way
Washington, IL 61571-9285

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X178.015405 (IL)

Professional Counselor: Definition to come...

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About NPI 1457996324

Kirby O'Brien, MA, NCC, LPC's National Provider Identifier is 1457996324, issued on Nov 14, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Washington, IL. The record was last updated on Nov 14, 2019.