person
Samuel H Kirby, SAC
Addiction (Substance Use Disorder) Counselor in Madison, Wisconsin
NPI 1972855914

Samuel H Kirby is an Addiction (Substance Use Disorder) Counselor based in Madison, WI and is specialized in Addiction (Substance Use Disorder). Samuel H Kirby practices in Madison, WI and has the professional credentials of SAC. The NPI Number for Samuel H Kirby is 1972855914 and holds a License No. 15769-131 (Wisconsin).

The current practice location address for Samuel H Kirby is 3113 E Washington Ave, Madison, WI and can be reached out via phone at 608-242-0220 and via fax at 608-242-1166.

Location: 3113 E Washington Ave, Madison, WI, 53704-4330
person
Provider Profile Details
NPI Number
1972855914
Provider Name
Samuel H Kirby
Credential
SAC
Provider Entity Type
Individual
Gender
Male
Address
3113 E Washington Ave, Madison, WI, 53704-4330
Phone Number
608-242-0220
Fax Number
608-242-1166
Provider Enumeration Date
10/15/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3113 E Washington Ave
City
State
Zip
53704-4330
Phone Number
608-242-0220
Fax Number
608-242-1166
person
Provider Business Mailing Address Details
Address
3113 E Washington Ave
City
State
Zip
53704-4330
Phone Number
608-242-0220
Fax Number
608-242-1166
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
15769-131 (Wisconsin)
Definition
Definition to come...
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