Provider Demographics
NPI:1568204543
Name:KIRKPATRICK, MARCI LYNN (LPCC)
Entity type:Individual
Prefix:MS
First Name:MARCI
Middle Name:LYNN
Last Name:KIRKPATRICK
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11358 W RADCLIFFE DR
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127-1077
Mailing Address - Country:US
Mailing Address - Phone:720-539-4412
Mailing Address - Fax:
Practice Address - Street 1:11358 W RADCLIFFE DR
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-1077
Practice Address - Country:US
Practice Address - Phone:720-539-4412
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-10
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0022268101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor