Organization
LARRY M. KIRKLAND, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY M. KIRKLAND LMHC (PRESIDENT/OWNER)
(850) 323-1002
Entity
Organization
Contact information
Practice address
4435 MARION ST, MARIANNA, FL 32448-4630
(850) 482-0019
(850) 482-0015
Mailing address
285 W LAKEVIEW DR, WEWAHITCHKA, FL 32465-7525
(850) 323-1002
(850) 482-0015
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
MH8715
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001235600
—
FL
Enumeration date
02/09/2012
Last updated
02/09/2012
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