Individual
MS. AMBER IRVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
750 W USTICK RD STE 120, MERIDIAN, ID 83646-6133
(208) 366-1601
(208) 366-1602
Mailing address
3960 S PICASSO AVE, MERIDIAN, ID 83642-7893
(208) 447-8043
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-7355
ID
Other
Enumeration date
08/13/2020
Last updated
08/13/2020
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