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Anquonette Irving, M.Ed

Counselor, Mental Health in South Bay, FL. Individual provider (NPI-1).

NPI number1750906830
StatusActive
Last updated in NPPESAug 15, 2025

Details

NPI
1750906830
Entity type
Individual (NPI-1)
Name
Anquonette Irving
Credential
M.Ed
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 14, 2020
Certification date
Jul 30, 2025
Last updated
Aug 15, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental HealthLPC015906GAYes
101YM0800X Counselor, Mental Health––

Practice location

299 Azucana Rd
South Bay, FL 33493-1116

Phone 561-463-9596

Mailing address

299 Azucana Rd
South Bay, FL 33493-1116

Phone 561-463-9596

Other practice locations

980 Howell Mill Rd Nw
Atlanta, GA 30318-5958

Phone 954-856-3951

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