Search › Minnesota › 101Y00000X
Kirby Kaczor, LPCC
NPI 1003679234 · on the registry since 2024
Practice
- Address
- 2025 4th St Ste 100
White Bear Lake, MN 55110 - Phone
- (651) 212-4920
- Clinicians at this address
- 6
Additional practice sites
- 4432 Chicago Ave Ste 1, Minneapolis, MN
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-01-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota