Individual
BEN TODD IRWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6221 MAIN ST, HOUSTON, TX 77030-1506
(832) 231-3075
Mailing address
840 GESSNER RD STE 1300, HOUSTON, TX 77024-4158
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/28/2018
Last updated
02/28/2018
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