Individual
AUGUST IRVING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 W LEAKE ST, CLINTON, MS 39056-4253
(601) 953-7064
(601) 369-0264
Mailing address
PO BOX 433, CLINTON, MS 39060-0433
(601) 953-7064
(601) 364-0264
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1789
MS
101YP2500X
Professional Counselor
1789
MS
101YP2500X
Professional Counselor
PC020083
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00018209
—
MS
Enumeration date
09/26/2013
Last updated
04/24/2026
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