Individual
ANDREW TRAVIS KIRKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4660 VIEWRIDGE AVE, SAN DIEGO, CA 92123-1638
(858) 278-3292
Mailing address
4660 VIEWRIDGE AVE, SAN DIEGO, CA 92123-1638
(858) 278-3292
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
109964
CA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/09/2018
Last updated
05/07/2024
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