Individual
DALE KIRKHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC MHSP
Contact information
Practice address
2021 21ST AVE S, ROOM 322, NASHVILLE, TN 37212-4342
(615) 420-0201
Mailing address
199 HARPETH VIEW TRL, KINGSTON SPRINGS, TN 37082-9047
(615) 420-0201
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2988
TN
Other
Enumeration date
10/13/2014
Last updated
10/13/2014
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