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Robert Thornton Irwin, L.I.C.D.C.

Counselor, Addiction (Substance Use Disorder) in Saint Clairsville, OH. Individual provider (NPI-1).

NPI number1154734697
StatusActive
Last updated in NPPESJun 3, 2014

Details

NPI
1154734697
Entity type
Individual (NPI-1)
Name
Robert Thornton Irwin
Credential
L.I.C.D.C.
Sex
Male
Sole proprietor
No
Enumeration date
Jun 3, 2014
Last updated
Jun 3, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)121104OHYes

Practice location

68518 Bannock Rd
P.O. 540
Saint Clairsville, OH 43950-9736

Phone 740-695-5169

Mailing address

68518 Bannock Rd
P.O. 540
Saint Clairsville, OH 43950-9736

Phone 740-695-5169

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