Individual
MS. KELLY C KIRBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPCC
Contact information
Practice address
577 HUFF ST, SUITE 1B, WINONA, MN 55987-3330
(507) 358-4380
(320) 323-4616
Mailing address
577 HUFF ST, SUITE 1B, WINONA, MN 55987-3330
(507) 358-4380
(320) 323-4616
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
MN
101YM0800X
Mental Health Counselor
Primary
CC00277
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
150913
UCARE
MN
05
—
256057700
—
MN
01
—
3H671EI
BLUE CROSS/BLUE SHIELD
MN
01
—
6212367
UBH
MN
Enumeration date
08/14/2008
Last updated
11/30/2011
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