person
Kourtney Kay Irish
Addiction (Substance Use Disorder) Counselor in Baker City, Oregon
NPI 1326828583

Kourtney Kay Irish is an Addiction (Substance Use Disorder) Counselor based in Baker City, OR and is specialized in Addiction (Substance Use Disorder). Kourtney Kay Irish practices in Baker City, OR. The NPI Number for Kourtney Kay Irish is 1326828583 and holds a License No. T-23-3112 (Oregon).

The current practice location address for Kourtney Kay Irish is 3700 Midway Dr, Baker City, OR and can be reached out via phone at 541-523-8320 and via fax at 541-523-8325.

Location: 3700 Midway Dr, Baker City, OR, 97814-1340
person
Provider Profile Details
NPI Number
1326828583
Provider Name
Kourtney Kay Irish
Credential
Provider Entity Type
Individual
Gender
Female
Address
3700 Midway Dr, Baker City, OR, 97814-1340
Phone Number
541-523-8320
Fax Number
541-523-8325
Provider Enumeration Date
10/04/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2737990 01 OR DRIVERS LICENSE
institution
Provider Business Practice Location Address Details
Address
3700 Midway Dr
City
State
Zip
97814-1456
Phone Number
541-523-8320
Fax Number
541-523-8325
person
Provider Business Mailing Address Details
Address
3700 Midway Dr
City
State
Zip
97814-1456
Phone Number
541-523-8320
Fax Number
541-523-8325
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
T-23-3112 (Oregon)
Definition
Definition to come...
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