Individual
DAVID JASON KIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
TLMHC
Contact information
Practice address
1105 CENTER ST, RUTHVEN, IA 51358-8558
(712) 298-4325
Mailing address
PO BOX 343, RUTHVEN, IA 51358-0343
(712) 298-4325
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
105186
IA
Other
Enumeration date
12/28/2020
Last updated
12/28/2020
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