Constance Lou Kirk, L.P.C.C.-S

NPI #1356596258 in Georgetown, Ohio

Provider Information

NPI Number
1356596258
Entity Type
Individual
Name
Constance Lou Kirk, L.P.C.C.-S
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Mental Health
Credential
L.P.C.C.-S
Enumeration Date
Nov 20, 2008
Last Updated
Nov 20, 2008

Practice Location

Address
149 HAMER RD
State
Ohio
ZIP Code
45121-9497
Phone
(937) 515-3060

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)
Counselor - Mental HealthMental Health

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