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Individual

ANDREA GABRIELLE IRWIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
502 N MARKET ST, CHAMPAIGN, IL 61820-3634
(217) 373-2428
(217) 373-2445
Mailing address
2134A 1ST AVE, FERNANDINA BEACH, FL 32034-4528
(352) 871-2161

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH14035
FL

Other

Enumeration date
06/01/2009
Last updated
12/07/2024
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