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Kirby Kaczor, LPCC
Counselor in White Bear Lake, Minnesota
NPI 1003679234

Kirby Kaczor is a Counselor based in White Bear Lake, MN. Kirby Kaczor practices in White Bear Lake, MN and has the professional credentials of LPCC. The NPI Number for Kirby Kaczor is 1003679234 and holds a License No. 4263 (Minnesota).

The current practice location address for Kirby Kaczor is 2025 4Th St Ste 100, White Bear Lake, MN and can be reached out via phone at 651-212-4920.

Location: 2025 4Th St Ste 100, White Bear Lake, MN, 55110-2875
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003679234
Provider Name
Kirby Kaczor
Credential
LPCC
Provider Entity Type
Individual
Gender
Male
Address
2025 4Th St Ste 100, White Bear Lake, MN, 55110-2875
Phone Number
651-212-4920
Fax Number
Provider Enumeration Date
01/31/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2025 4Th St Ste 100
City
White Bear Lake
State
Minnesota
Zip
55110-2875
Phone Number
651-212-4920
Fax Number
person
Provider Business Mailing Address Details
Address
2025 4Th St Ste 100
City
White Bear Lake
State
Minnesota
Zip
55110-2875
Phone Number
651-212-4920
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
4263 (Minnesota)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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