Provider Demographics
NPI:1881121267
Name:KIRK, VALERIE F
Entity type:Individual
Prefix:
First Name:VALERIE
Middle Name:F
Last Name:KIRK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:VALERIE
Other - Middle Name:
Other - Last Name:KIRK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA
Mailing Address - Street 1:1025 W 37TH PL
Mailing Address - Street 2:
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99337-3824
Mailing Address - Country:US
Mailing Address - Phone:509-551-2655
Mailing Address - Fax:
Practice Address - Street 1:3801 S ZINTEL WAY STE A120
Practice Address - Street 2:
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99337-5097
Practice Address - Country:US
Practice Address - Phone:509-591-0462
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-17
Last Update Date:2017-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health