Individual
LONDON IRWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
120 E TRINITY PL, DECATUR, GA 30030-3302
(404) 378-2300
Mailing address
120 E TRINITY PL, DECATUR, GA 30030-3302
(404) 378-2300
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC009397
GA
101YP2500X
Professional Counselor
Primary
LPC016670
GA
Other
Enumeration date
06/28/2024
Last updated
05/04/2026
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