Individual
SHELLEY LORRAINE IRELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
2102 W BETHANY HOME RD, PHOENIX, AZ 85015-1935
(602) 774-4745
Mailing address
2102 W BETHANY HOME RD, PHOENIX, AZ 85015-1935
(602) 774-4745
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LAC-15879
AZ
Other
Enumeration date
12/05/2024
Last updated
12/05/2024
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