Individual
IMRAN KIRKLAND EL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
610 E ROOSEVELT ST UNIT 249, PHOENIX, AZ 85004-1985
(623) 225-1890
Mailing address
610 E ROOSEVELT ST UNIT 249, PHOENIX, AZ 85004-1985
(623) 225-1890
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
19766
AZ
Other
Enumeration date
04/20/2021
Last updated
04/20/2021
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