Provider Demographics
NPI:1487778700
Name:KIRKPATRICK, JOY ALENE (MFT)
Entity type:Individual
Prefix:
First Name:JOY
Middle Name:ALENE
Last Name:KIRKPATRICK
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:820 HARVEY RD STE E
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:WA
Mailing Address - Zip Code:98002-4247
Mailing Address - Country:US
Mailing Address - Phone:253-833-7748
Mailing Address - Fax:253-939-1069
Practice Address - Street 1:820 HARVEY RD STE E
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:WA
Practice Address - Zip Code:98002-4247
Practice Address - Country:US
Practice Address - Phone:253-833-7748
Practice Address - Fax:253-939-1069
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALM00007186101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health