Kirk Richard Gresham, RN, LMFT Valid NPI
Individual provider · Marriage & Family Therapist · Port Townsend, WA
- NPI
- 1194985366
- Type
- Individual (Type 1)
- Primary specialty
- Marriage & Family Therapist
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 106H00000X
- License number
- LF00001440 (WA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2008-06-11
- Last updated
- 2008-06-11
Practice location
1206 Water St
Port Townsend, WA 98368-6725
(360) 379-0911