Individual
TREVOR JAMES IRISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17643 N PASS CITY PL, NAMPA, ID 83687-1070
(208) 230-9432
Mailing address
17643 N PASS CITY PL, NAMPA, ID 83687-1070
(208) 230-9432
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/06/2012
Last updated
11/02/2025
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