Individual
ALEXIS BRIANNA KIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
4764 FULTON ST E STE 204, ADA, MI 49301-9086
(616) 541-9951
Mailing address
15 OTTAWA AVE NW APT 704, GRAND RAPIDS, MI 49503-4833
(757) 775-2716
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6451023801
MI
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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