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Mr. Brent Logan Kirby, MA
Pastoral Counselor in Summitville, Indiana
NPI 1154097111

Brent Logan Kirby is a Pastoral Counselor based in Summitville, IN and is specialized in Pastoral. Brent Logan Kirby practices in Summitville, IN and has the professional credentials of MA. The NPI Number for Brent Logan Kirby is 1154097111 and holds a License No. (Indiana).

The current practice location address for Brent Logan Kirby is 17345 N 150 E, Summitville, IN and can be reached out via phone at 907-690-1701. You can also correspond with Brent Logan Kirby through the mailing address at PO BOX 305, SUMMITVILLE, IN - 46070-0305 (mailing address contact number: ).

Location: 17345 N 150 E, Summitville, IN, 46070-0305
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154097111
Provider Name
Brent Logan Kirby
Credential
MA
Provider Entity Type
Individual
Gender
Male
Address
17345 N 150 E, Summitville, IN, 46070-0305
Phone Number
907-690-1701
Fax Number
Provider Enumeration Date
08/19/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
17345 N 150 E
City
Summitville
State
Indiana
Zip
46070-9121
Phone Number
907-690-1701
Fax Number
person
Provider Business Mailing Address Details
Address
17345 N 150 E
City
Summitville
State
Indiana
Zip
46070-9121
Phone Number
907-690-1701
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Pastoral
Taxonomy
101YP1600X
License No.
()
Definition
Definition to come...
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