Basic Information
| Provider Information | |||||||||
| NPI: | 1639227168 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | KIRKMAN | ||||||||
| FirstName: | LINDA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | LCAS, LPC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 31 COLLEGE PL | ||||||||
| Address2: | SUITE B-210 | ||||||||
| City: | ASHEVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 288012483 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8282542700 | ||||||||
| FaxNumber: | 8282541524 | ||||||||
| Practice Location | |||||||||
| Address1: | 31 COLLEGE PL | ||||||||
| Address2: | SUITE B-210 | ||||||||
| City: | ASHEVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 288012483 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8282542700 | ||||||||
| FaxNumber: | 8282541524 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/08/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YA0400X | 599 | NC | Y | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) |
No ID Information.