Individual
LASITA KIRKLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
4775 HARVEST WAY, MONTGOMERY, AL 36106-3148
(334) 590-4816
Mailing address
4775 HARVEST WAY, MONTGOMERY, AL 36106-3148
(334) 590-4816
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
L632
AL
Other
Enumeration date
11/10/2022
Last updated
01/29/2024
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