Individual
REBECCA KIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
113 EXECUTIVE DR, MADISON, MS 39110-8498
(601) 707-5045
(601) 707-5045
Mailing address
113 EXECUTIVE DR, MADISON, MS 39110-8498
(601) 707-5045
(601) 707-5045
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
MS
Other
Enumeration date
08/29/2014
Last updated
08/29/2014
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