Individual
IRENE CHURCHILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPCC
Contact information
Practice address
579 WELLS ST, SAINT PAUL, MN 55130-4134
(651) 793-3803
Mailing address
2007 ALDRICH AVE S APT 6, MINNEAPOLIS, MN 55405-3008
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC03518
MN
Other
Enumeration date
09/23/2022
Last updated
09/23/2022
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