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Individual

MR. DARWIN L IRVINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA, LPC, LAT

Contact information

Practice address
116 S 3RD ST, BASIN, WY 82410
(307) 568-2020
Mailing address
PO BOX 351, GREYBULL, WY 82426-0351
(307) 568-2020

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
172
WY
101YM0800X
Mental Health Counselor
Primary
172
WY

Other

Enumeration date
11/24/2009
Last updated
03/04/2015
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