Individual
MRS. DEANNA LYNN IRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED NCC LPC MHSP MAC
Contact information
Practice address
1316 W G ST STE 15, ELIZABETHTON, TN 37643-2897
(423) 895-9576
(423) 722-9333
Mailing address
PO BOX 602, ELIZABETHTON, TN 37644-0602
(423) 512-1682
(423) 722-9333
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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