Individual provider · Type 1 NPI
Kimberly Kirk, PC-CR, LCDC III
Professional Counselor · Fairfield, OH
NPI number
1467851394
Active
Practice location
2796 Mack Rd
Fairfield, OH 45014-5129
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCDC.141082-3 (OH) |
| Professional Counselor Primary | 101YP2500X | C.0500898-CR (OH) |
Professional Counselor: Definition to come...
3 other providers at this address
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About NPI 1467851394
Kimberly Kirk, PC-CR, LCDC III's National Provider Identifier is 1467851394, issued on Aug 15, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fairfield, OH. The record was last updated on Aug 15, 2014.