Individual
MR. KIRK TASKILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1315 ILLINOIS AVE, LANSING, MI 48906-4961
(517) 281-4720
Mailing address
1315 ILLINOIS AVE, LANSING, MI 48906-4961
(517) 281-4720
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
225XM0800X
Mental Health Occupational Therapist
Primary
6801088396
MI
Other
Enumeration date
07/26/2024
Last updated
07/26/2024
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