person
Ebony Irvin, LICSW
Mental Health Counselor in Oakdale, Minnesota
NPI 1457003451

Ebony Irvin is a Mental Health Counselor based in Coon Rapids, MN and is specialized in Mental Health. Ebony Irvin practices in Oakdale, MN and has the professional credentials of LICSW. The NPI Number for Ebony Irvin is 1457003451 and holds a License No. 33018 (Minnesota).

The current practice location address for Ebony Irvin is 7066 Stillwater Blvd N, Oakdale, MN and can be reached out via phone at 312-647-9314.

Location: 7066 Stillwater Blvd N, Oakdale, MN, 55448-5250
person
Provider Profile Details
NPI Number
1457003451
Provider Name
Ebony Irvin
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
7066 Stillwater Blvd N, Oakdale, MN, 55448-5250
Phone Number
312-647-9314
Fax Number
Provider Enumeration Date
01/20/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7066 Stillwater Blvd N
City
State
Zip
55128-3937
Phone Number
312-647-9314
Fax Number
person
Provider Business Mailing Address Details
Address
7066 Stillwater Blvd N
City
State
Zip
55128-3937
Phone Number
312-647-9314
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
33018 (Minnesota)
Definition
Definition to come...
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