Individual
DEBRA MILLS-IRVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
914 E BROADWAY, 3RD FLOOR, LOUISVILLE, KY 40204-1037
(502) 589-8600
(502) 589-8771
Mailing address
101 W MUHAMMAD ALI BLVD, LOUISVILLE, KY 40202-1423
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1138
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100284310
—
KY
Enumeration date
06/28/2013
Last updated
03/06/2015
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