Individual
IRENE E MUNCY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC, LICDC, LSW
Contact information
Practice address
2 HARBORVIEW CT, BLUFFTON, SC 29910-9577
(614) 354-9928
Mailing address
2 HARBORVIEW CT, BLUFFTON, SC 29910-9577
(614) 354-9928
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
964520
OH
101YM0800X
Mental Health Counselor
Primary
E-0001870
OH
104100000X
Social Worker
S-0014520
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
243889
VALUE OPTIONS
OH
01
—
61332
CIGNA BEHAVIORAL HEALTH
OH
01
—
6133920
CIGNA
OH
01
—
7072045
AETNA
OH
01
—
D054771
VALUE OPTIONS
OH
01
—
QMP000003643190
MOLINA HEALTHCARE
OH
Enumeration date
03/02/2006
Last updated
09/11/2015
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