Individual
AMANDA PORTER KIRBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
770 W RIDGE RD STE 220, WYTHEVILLE, VA 24382-1187
(276) 223-3202
Mailing address
770 W RIDGE RD, WYTHEVILLE, VA 24382-1187
(276) 223-3200
(276) 223-0617
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701010845
VA
Other
Enumeration date
09/22/2021
Last updated
09/22/2021
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