Kirk, Constance Lou

Kirk, Constance Lou is an sole proprietor health care provider with primary practice located at 149 Hamer Rd , Georgetown OH 45121-9497. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Kirk, Constance Lou can be contacted via phone (937) 515-3060.

Contact Information

Primary practice address
149 Hamer Rd Georgetown OH 45121-9497
Phone: (937) 515-3060
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 071010 Ohio
Behavioral Health & Social Service Providers / Mental Health 101YM0800X E0008453 Ohio

Profile Details

NPI number 1356596258
LBN Legal business name Kirk, Constance Lou
Credentials L.P.C.C.-S
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 20th, 2008
Last updated Nov 20th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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