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NPI Profile for DARWIN L IRVINE in BASIN, WY.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X | |||
Addiction (Substance Use Disorder) |
101YA0400X |
| NPI # | 1417285883 |
|
| Status | Active | |
| Credentials | MA, LPC, LAT | |
| Entity | Individual | |
| Enumeration date | 11/24/2009 | |
| Last updated | 03/04/2015 - About 11 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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DARWIN L IRVINE
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DARWIN L IRVINE, MA, LPC, LAT