Kirsch, Tom
Kirsch, Tom is an individual health care provider with primary practice located at 635 E Baseline Rd , Phoenix AZ 85042-6551. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Kirsch, Tom can be contacted via phone (602) 243-7277.Contact Information
Primary practice address
635 E Baseline Rd
Phoenix AZ 85042-6551
Phone: (602) 243-7277
Fax: (602) 243-1235
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | LPC-1882 | Arizona |
Profile Details
| NPI number | 1689634917 |
|---|---|
| LBN Legal business name | Kirsch, Tom |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2006 |
| Last updated | Jul 9th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689634917 | NPPES |
| Arizona | MEDICAID | 854671 |
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