Individual
KRISTA KIRBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
20 LAKE ST N STE 210, FOREST LAKE, MN 55025-2511
(651) 232-3157
Mailing address
10740 MATTHEW DR, CHISAGO CITY, MN 55013-9462
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
304703
MN
101YM0800X
Mental Health Counselor
Primary
5393
MN
Other
Enumeration date
01/20/2026
Last updated
01/20/2026
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