Individual
CLINT WILLIAM IRWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA LPC
Contact information
Practice address
300 W WASHINGTON AVE STE 210B, JACKSON, MI 49201-2160
(517) 344-0913
(517) 905-6007
Mailing address
300 W WASHINGTON AVE STE 210B, JACKSON, MI 49201-2160
(517) 344-0913
(517) 905-6007
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6401011162
MI
101YA0400X
Addiction (Substance Use Disorder) Counselor
6401011162
MI
101YP2500X
Professional Counselor
Primary
6401011162
MI
Other
Enumeration date
09/30/2010
Last updated
03/15/2023
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