| Doctor Name: | KELLIE KIRKSEY |
| NPI Number: | 1730350851 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPCC |
| License Number: | E0004216 |
| Business Practice Address: | 3837 Starrs Centre Dr Canfield, OH - 444068064 |
| Business Phone Number: | 3305331870 |
| Business Fax Number: | 3305333484 |
| Mailing Address: | 8577 E Market St, WARREN |
| State: | OH |
| Postal Code: | 444842345 |
| Phone Number: | 3308566663 |
| Fax Number: | 3308561581 |
| NPI Enumeration Date: | 03/17/2008 |
| NPI Last Update Date: | 03/17/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | E0004216 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |