Doctor Name: | MS. KELLY C KIRBY |
NPI Number: | 1972759512 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, LPCC |
License Number: | |
Business Practice Address: | 577 Huff St Suite 1b Winona, MN - 559873330 |
Business Phone Number: | 5073584380 |
Business Fax Number: | 3203234616 |
Mailing Address: | 577 Huff St, Suite 1b WINONA |
State: | MN |
Postal Code: | 559873330 |
Phone Number: | 5073584380 |
Fax Number: | 3203234616 |
NPI Enumeration Date: | 08/14/2008 |
NPI Last Update Date: | 11/30/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MN |
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 |