Organization
SUNRISE COUNSELING AND LIFE COACHING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY KIRN MS, LPC, MHC (OWNER)
(570) 216-2764
Entity
Organization
Contact information
Practice address
2641 N FLAMINGO RD APT 2103N, SUNRISE, FL 33323-1748
(570) 216-2764
Mailing address
2641 N FLAMINGO RD APT 2103N, SUNRISE, FL 33323-1748
(570) 216-2764
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/16/2021
Last updated
09/16/2021
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