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Randi Irwin, MA,LMHC
Mental Health Counselor in South Bend, Indiana
NPI 1629542295

Randi Irwin is a Mental Health Counselor based in South Bend, IN and is specialized in Mental Health. Randi Irwin practices in South Bend, IN and has the professional credentials of MA,LMHC. The NPI Number for Randi Irwin is 1629542295 and holds a License No. (Indiana).

The current practice location address for Randi Irwin is 905 Portage Ave, South Bend, IN and can be reached out via phone at 574-383-6617.

Location: 905 Portage Ave, South Bend, IN, 46616-1415
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629542295
Provider Name
Randi Irwin
Credential
MA,LMHC
Provider Entity Type
Individual
Gender
Female
Address
905 Portage Ave, South Bend, IN, 46616-1415
Phone Number
574-383-6617
Fax Number
Provider Enumeration Date
01/17/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
905 Portage Ave
City
South Bend
State
Indiana
Zip
46616-1415
Phone Number
574-383-6617
Fax Number
person
Provider Business Mailing Address Details
Address
905 Portage Ave
City
South Bend
State
Indiana
Zip
46616-1415
Phone Number
574-383-6617
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
39004784A (Indiana)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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