Individual
DR. DONALD R KIRTLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, PHD
Contact information
Practice address
648 KINGS GRANT RD, VIRGINIA BEACH, VA 23452-7036
(714) 309-3033
Mailing address
648 KINGS GRANT RD, VIRGINIA BEACH, VA 23452-7036
(714) 309-3033
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LPC220
CA
106H00000X
Marriage & Family Therapist
Primary
MFC47902
CA
Other
Enumeration date
12/07/2007
Last updated
07/29/2016
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