Individual
DANIELLE ANN IRBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
603 S PARK AVE, FOWLER, IN 47944-1722
(765) 237-2522
Mailing address
603 S PARK AVE, FOWLER, IN 47944-1722
(765) 237-2522
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39004149A
IN
Other
Enumeration date
06/22/2022
Last updated
06/22/2022
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