Individual
BILL IRVING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1200 W IRONWOOD DR, SUITE 101, COEUR D ALENE, ID 83814-2660
(208) 667-2979
Mailing address
1200 IRONWOOD DRIVE, SUITE 101, COEUR D'ALENE, ID 83814
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1470009
ID
Other
Enumeration date
06/15/2010
Last updated
06/15/2010
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