Individual
ELAINE KIRBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
200 S ALMA ST, NEVADA, MO 64772-3945
(620) 224-7169
Mailing address
PO BOX 484, FORT SCOTT, KS 66701-0484
(620) 224-7169
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
002022
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24297017
BCBS PROVIDER ID#
MO
Enumeration date
07/28/2006
Last updated
07/09/2007
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