Individual
LINDA J KIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSE, LPC, CSAC
Contact information
Practice address
N5389 BUENA VISTA DR, FOND DU LAC, WI 54937-7372
(920) 960-7232
Mailing address
N5389 BUENA VISTA DR, FOND DU LAC, WI 54937-7372
(920) 960-7232
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2934-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43579100
—
WI
Enumeration date
01/19/2007
Last updated
01/16/2025
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