Individual
HEATHER RENEE IRISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1420 PLAZA DR, PETOSKEY, MI 49770-9420
(231) 347-6701
Mailing address
1420 PLAZA DR, PETOSKEY, MI 49770-9420
(231) 347-6701
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401225244
MI
Other
Enumeration date
06/15/2023
Last updated
07/16/2025
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