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Individual

JAMES IRA KIRK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LSW

Contact information

Practice address
6020 GROVEPORT RD, GROVEPORT, OH 43125-1005
(614) 567-6274
(855) 604-0927
Mailing address
211 S 5TH ST, COLUMBUS, OH 43215-5203
(614) 567-6274
(855) 604-0927

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
141741
OH
104100000X
Social Worker
Primary
W1500061
OH

Other

Enumeration date
09/25/2017
Last updated
04/29/2026
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