Individual
HEATHER IRWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, MA
Contact information
Practice address
102 E PIKES PEAK AVE STE 306-A, COLORADO SPRINGS, CO 80903-1823
(718) 578-7012
Mailing address
166 ELLSWORTH ST, COLORADO SPRINGS, CO 80906-7973
(718) 578-7012
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/12/2018
Last updated
03/12/2018
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