Individual
AMBER IRVING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
602 YALE PL, CANON CITY, CO 81212-4611
(719) 275-0700
Mailing address
PO BOX 1748, CANON CITY, CO 81215-1748
(192) 750-7007
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC.0015668
CO
Other
Enumeration date
10/03/2017
Last updated
07/08/2020
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