| NPI | 1902011067 |
|---|---|
| Professional Name | JIM KIRK |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 937L) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NV 556) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2007-07-08 |