Irwin Burroughs, Mht ABNLP CTAA CISM
Counselor in Mokelumne Hl, CA. Individual provider (NPI-1).
NPI number1689201477
StatusActive
Last updated in NPPESMar 24, 2020
Details
- NPI
- 1689201477
- Entity type
- Individual (NPI-1)
- Name
- Irwin Burroughs
- Credential
- Mht ABNLP CTAA CISM
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 24, 2020
- Certification date
- Mar 24, 2020
- Last updated
- Mar 24, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Other names
- Irwin Burroughs (Professional Name)
Practice location
8085 Ca-26 Suite 2aMokelumne Hl, CA 95245
Phone 209-283-3336
Mailing address
8085 Ca-26 Suite 2aMokelumne Hl, CA 95245
Phone 209-283-3336
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