Kaczor, Kirby

Kaczor, Kirby is an individual health care provider with primary practice located at 2025 4Th St Ste 100 , White Bear Lake MN 55110-2875. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Kaczor, Kirby can be contacted via phone (651) 212-4920.

Contact Information

Primary practice address
2025 4Th St Ste 100 White Bear Lake MN 55110-2875
Phone: (651) 212-4920
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 4263 Minnesota

Profile Details

NPI number 1003679234
LBN Legal business name Kaczor, Kirby
Credentials LPCC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2024
Last updated Jan 31st, 2024 - about 2 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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