Individual
DR. IRVING BOONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
1010 UNIVERSITY AVE W, SAINT PAUL, MN 55104-4746
(651) 659-0359
(651) 645-1688
Mailing address
1044 LAWSON AVE E, SAINT PAUL, MN 55106-3328
(651) 216-5774
(651) 645-1688
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
300575
MN
Other
Enumeration date
06/29/2009
Last updated
06/29/2009
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