Individual
IRISH CAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 HOLLADAY ST, PORTSMOUTH, VA 23704-2232
(757) 729-0009
Mailing address
1100 HOLLADAY ST, PORTSMOUTH, VA 23704-2232
(757) 729-0009
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1956
VA
Other
Enumeration date
11/10/2014
Last updated
11/10/2014
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