Kirk, Mario Dewayne

Kirk, Mario Dewayne is an individual health care provider with primary practice located at 1738 S Tremont St , Oceanside CA 92054-5309. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Kirk, Mario Dewayne can be contacted via phone (760) 439-2800.

Contact Information

Primary practice address
1738 S Tremont St Oceanside CA 92054-5309
Phone: (760) 439-2800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 3912 Oklahoma
Behavioral Health & Social Service Providers / Counselor 101Y00000X 3912 Oklahoma
Behavioral Health & Social Service Providers / School 101YS0200X 3912 Oklahoma
Behavioral Health & Social Service Providers / Mental Health 101YM0800X PSB94023546 California

Profile Details

NPI number 1265611024
LBN Legal business name Kirk, Mario Dewayne
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 29th, 2007
Last updated Jan 4th, 2019 - about 5 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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