Individual
AUTUMN IRWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
2051 N STATE ST, IOLA, KS 66749-1677
(620) 481-1267
Mailing address
1004 CHESTNUT ST, EMPORIA, KS 66801-2500
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1707
KS
Other
Enumeration date
06/17/2022
Last updated
06/27/2022
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