Provider Demographics
NPI:1669188355
Name:KIRKPATRICK, APRIL (LSW QIDP)
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:
Last Name:KIRKPATRICK
Suffix:
Gender:F
Credentials:LSW QIDP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:307 HICKORY ST
Mailing Address - Street 2:
Mailing Address - City:FLORA
Mailing Address - State:IL
Mailing Address - Zip Code:62839-1073
Mailing Address - Country:US
Mailing Address - Phone:217-690-3467
Mailing Address - Fax:
Practice Address - Street 1:905 W ELM ST
Practice Address - Street 2:
Practice Address - City:OLNEY
Practice Address - State:IL
Practice Address - Zip Code:62450-1128
Practice Address - Country:US
Practice Address - Phone:217-690-3467
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-25
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health