Individual
BETH IRWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
1127 N OAKLEY BLVD, CHICAGO, IL 60622-3507
(312) 770-2572
Mailing address
9517 LAWLER AVE, SKOKIE, IL 60077-1274
(217) 621-9908
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.008557
IL
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
09/15/2011
Last updated
04/12/2013
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