Individual
SHORAY KIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
108 W SUMMIT HILL DR, KNOXVILLE, TN 37902
(865) 525-1099
(865) 525-7494
Mailing address
108 W SUMMIT HILL DR, KNOXVILLE, TN 37902
(865) 525-1099
(865) 525-7494
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC1508
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4076057
BCBS TN
TN
05
—
5441092
—
TN
Enumeration date
06/29/2006
Last updated
07/02/2008
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