Individual
BENJAWAN MOOLKEO IRWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MC61356988
Contact information
Practice address
3025 E SPANGLE WAVERLY RD # HOUSE19, SPANGLE, WA 99031-9703
(423) 240-5654
Mailing address
3025 E SPANGLE WAVERLY RD, SPANGLE, WA 99031-9703
(423) 240-5654
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MC61356988
WA
Other
Enumeration date
04/03/2023
Last updated
04/03/2023
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