Individual
MRS. LISA IRWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., LPC
Contact information
Practice address
112 N JACKSON ST, ENID, OK 73701-3848
(580) 254-1535
(580) 237-1947
Mailing address
112 N JACKSON ST, ENID, OK 73701-3848
(580) 254-1535
(580) 237-1947
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
4078
OK
101YP2500X
Professional Counselor
Primary
4078
OK
Other
Enumeration date
05/07/2010
Last updated
02/05/2024
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