Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | 0701002133 | VA |
N | 101YP1600X | Pastoral Counselor |
NPI | 1194019844 |
---|---|
Provider Name | Dr. Linda Irene Kirkland-Harris |
First Address | Suffolk, VA 23435-3764 |
Second Address | Norfolk, VA 23502-4004 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/05/2011 |
Last Update Date | 29/05/2011 |