Individual
MONIQUE IRVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20800 SOUTHFIELD RD STE 330130, SOUTHFIELD, MI 48075-4238
(313) 879-8439
(313) 944-5612
Mailing address
20800 SOUTHFIELD RD STE 330130, SOUTHFIELD, MI 48075-4238
(313) 879-8429
(313) 944-5612
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6451023607
MI
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
05/28/2021
Last updated
03/02/2026
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