Kirby Kaczor, LPCC

NPI #1003679234 in White Bear Lake, Minnesota

Provider Information

NPI Number: 1003679234
Entity Type: Individual
Name: Kirby Kaczor, LPCC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: LPCC
Enumeration Date: Jan 31, 2024
Last Updated: Jan 31, 2024

Practice Location

Address: 2025 4TH ST STE 100
City: White Bear Lake
State: Minnesota
ZIP Code: 55110-2875
Phone: (651) 212-4920

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

Additional Practice Locations

4432 Chicago Ave Ste 1

Minneapolis, MN, 55407-3521

(612) 870-2454

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