Individual provider · Type 1 NPI

Stacy Kirkham, LCADC

Addiction (Substance Use Disorder) Counselor · Paducah, KY

NPI number 1790367746 Active

Practice location

220 Berger Rd
Paducah, KY 42003-4522

Call (270) 441-0030 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X38328 (IL)
Social Worker 104100000X150112934 (IL)
Counselor 101Y00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X297211 (KY)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1790367746

Stacy Kirkham, LCADC's National Provider Identifier is 1790367746, issued on Apr 28, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Paducah, KY. The record was last updated on Mar 14, 2025.