Individual
EVERETT OLIVER IRBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC
Contact information
Practice address
3248 VANDEVER AVENUE, PEKIN, IL 61554
(309) 347-5579
(309) 347-4264
Mailing address
3248 VANDEVER AVENUE, PEKIN, IL 61554
(309) 347-5579
(309) 347-4264
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/18/2010
Last updated
12/09/2010
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