Individual
AMANDA IRWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
229 W CENTRAL AVE UNIT 2107, COOLIDGE, AZ 85128-4850
(520) 216-7259
Mailing address
1022 E LAUREN LN, COOLIDGE, AZ 85128-9323
(520) 705-1492
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPC-18971
AZ
101YP2500X
Professional Counselor
Primary
LPC-18971
AZ
101YP2500X
Professional Counselor
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Other
Enumeration date
05/06/2020
Last updated
09/02/2025
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