Individual provider · Type 1 NPI

Thomas D. Kirk, MA, LPC, PhD

Professional Counselor · Cheyenne, WY

NPI number 1578735940 Active

Practice location

2600 E 18th St
Cheyenne, WY 82001-5511

Call (307) 633-7254 Map

Mailing address

214 E 23rd St
Cheyenne, WY 82001-3748

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC 483 (WY)

Professional Counselor: Definition to come...

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About NPI 1578735940

Thomas D. Kirk, MA, LPC, PhD's National Provider Identifier is 1578735940, issued on Mar 26, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Cheyenne, WY. The record was last updated on Jun 25, 2013.