Individual
MRS. DEANNA LYNN IRICK
Active
Individual
MRS. DEANNA LYNN IRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED NCC LPC MHSP MAC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC
TN
101YP2500X
Professional Counselor
Primary
1852
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5441294
—
TN
05
—
Q033962
—
TN
Enumeration date
10/02/2006
Last updated
08/02/2023
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