Individual
ALEXANDRA SHAY IRISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 N 17TH AVE, GREELEY, CO 80631-9584
(970) 347-2120
Mailing address
1300 N 17TH AVE, GREELEY, CO 80631-9584
(970) 347-2120
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
12689
CA
101YP2500X
Professional Counselor
Primary
LPC.0019046
CO
106H00000X
Marriage & Family Therapist
MFT.0002339
CO
Other
Enumeration date
10/18/2016
Last updated
05/21/2024
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