Individual
MR. THURMOND KIRKLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, LMSW, QMRP
Contact information
Practice address
520 SUPERIOR ST, PORT HURON, MI 48060-3838
(810) 984-4202
Mailing address
230 HURON AVE, PORT HURON, MI 48060-3822
(810) 966-4471
(810) 985-9448
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401005446
MI
101YP2500X
Professional Counselor
6401005446
MI
1041C0700X
Clinical Social Worker
6801034906
MI
Other
Enumeration date
08/29/2006
Last updated
07/10/2024
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