Individual
CAMRINESHA IRVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2460 COLLEGE DR, BATON ROUGE, LA 70808-2445
(225) 239-5293
(225) 244-7028
Mailing address
2460 COLLEGE DR, BATON ROUGE, LA 70808-2445
(225) 239-5293
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600925226
—
LA
Enumeration date
05/17/2017
Last updated
11/05/2019
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