Individual
KRIS T KIRBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1507 WATERFORD PKWY, SAINT JOHNS, MI 48879-9630
(989) 593-0211
(989) 227-5415
Mailing address
1507 WATERFORD PKWY, SAINT JOHNS, MI 48879-9630
(989) 593-0211
(989) 227-5415
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401017129
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6401017129
STATE OF MICHIGAN
MI
Enumeration date
07/23/2019
Last updated
07/23/2019
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