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Individual

TAMMY DARLENE KIRBY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
7277 HANOVER GREEN DR, SUITE A-2, MECHANICSVILLE, VA 23111-1764
(804) 730-9660
(804) 569-7722
Mailing address
7277 HANOVER GREEN DR, SUITE A-2, MECHANICSVILLE, VA 23111-1764
(804) 730-9660
(804) 569-7722

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701003071
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010066646
VA
01
088865M
SENTARA
VA
01
115902
ANTHEM
VA
01
2116251
CIGNA
VA
01
455602000
MAGELLAN
VA
01
501508
VALUE OPTIONS
VA
01
7275302
AETNA
VA
Enumeration date
09/22/2006
Last updated
07/12/2019
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