Most Relevant Information
Provider Data
| NPI Number: | 1003174111 |
| Provider Name: | HEATHER GODWIN KIRKLAND MS, LPCC-S, JSOCC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 174223 |
Most Important Dates
| Enumeration Date: | 04/26/2012 |
| Last Updated: | 08/20/2019 |
Provider Practice Location
4185 LEXINGTON RD
VERSAILLES
KY
403831736
Practice Location Phone/Fax
| Phone: | 8598739277 |
| Fax: |
Provider Mailing Location
4185 LEXINGTON RD
VERSAILLES
KY
403831736
Provider Mailing Phone/Fax
| Phone: | 8598739277 |
| Fax: | 8598739280 |