Provider Demographics
NPI:1265107460
Name:KIRBY, JOSHUA AARON (LPC, GC-C, CCC)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:AARON
Last Name:KIRBY
Suffix:
Gender:M
Credentials:LPC, GC-C, CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 SOUTH ALLEN STREET
Mailing Address - Street 2:SUITE 121
Mailing Address - City:STATE COLLEGE
Mailing Address - State:PA
Mailing Address - Zip Code:16801-4848
Mailing Address - Country:US
Mailing Address - Phone:814-826-3737
Mailing Address - Fax:
Practice Address - Street 1:315 SOUTH ALLEN STREET
Practice Address - Street 2:SUITE 121
Practice Address - City:STATE COLLEGE
Practice Address - State:PA
Practice Address - Zip Code:16801-4848
Practice Address - Country:US
Practice Address - Phone:814-826-3737
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-10
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health