Individual
DR. ANGELA M KIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LSW, LICDC-CS
Contact information
Practice address
547 E 11TH AVE, COLUMBUS, OH 43211-2603
(614) 586-7969
(614) 291-0118
Mailing address
547 E 11TH AVE, COLUMBUS, OH 43211-2603
(614) 586-7969
(614) 291-0118
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
923328
OH
104100000X
Social Worker
S0006860
OH
Other
Enumeration date
03/08/2016
Last updated
03/08/2016
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