Doctor Name: | DENISE ADELE KIRKPATRICK |
NPI Number: | 1255460606 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MED, LCPC |
License Number: | LCPC-592 |
Business Practice Address: | 765 W Park St Dillon, MT - 597259720 |
Business Phone Number: | 4066835070 |
Business Fax Number: | 4066835070 |
Mailing Address: | 765 W Park St, DILLON |
State: | MT |
Postal Code: | 597259720 |
Phone Number: | 4066835070 |
Fax Number: | 4066835070 |
NPI Enumeration Date: | 03/03/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LCPC-592 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |