| Andrea Kirk Counseling, Psc | |
|
4010 Dupont Circle, Suite 228 Louisville KY 40207 | |
| (502) 287-9110 | |
| (502) 384-0478 |
| Full Name | Andrea Kirk Counseling, Psc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 4010 Dupont Circle, Suite 228, Louisville, Kentucky |
| Authorized Official Name and Position | Andrea Lynn Cochran (OWNER) |
| Authorized Official Contact | 5022879110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea Kirk Counseling, Psc 4010 Dupont Circle, Suite 228 Louisville KY 40207 Ph: (502) 287-9110 | Andrea Kirk Counseling, Psc 4010 Dupont Circle, Suite 228 Louisville KY 40207 Ph: (502) 287-9110 |
| NPI Number | 1881262939 |
|---|---|
| Provider Enumeration Date | 06/15/2021 |
| Last Update Date | 06/15/2021 |
| Certification Date | 06/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881262939 | NPI | - | NPPES |
| 12649733 | Other | KY | CAQH |
| 7100274630 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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