Individual
THOMAS D KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPC, PHD
Contact information
Practice address
2600 E 18TH ST, CHEYENNE, WY 82001-5511
(307) 633-7254
Mailing address
214 E 23RD ST, CHEYENNE, WY 82001-3748
(307) 633-3096
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC 483
WY
Other
Enumeration date
03/26/2008
Last updated
06/25/2013
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