Individual
TERRISHA IRVING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
2701 MADISON ST APT H294, CHESTER, PA 19013-4731
(215) 432-3166
Mailing address
2701 MADISON ST APT H294, CHESTER, PA 19013-4731
(215) 432-3166
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/10/2017
Last updated
04/10/2017
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