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Irina Bashkirov, LAC
Mental Health Counselor in Fort Lee, New Jersey
NPI 1699161802

Irina Bashkirov is a Mental Health Counselor based in Teaneck, NJ and is specialized in Mental Health. Irina Bashkirov practices in Fort Lee, NJ and has the professional credentials of LAC. The NPI Number for Irina Bashkirov is 1699161802 and holds a License No. 37AC00246600 (New Jersey).

The current practice location address for Irina Bashkirov is 440 West St Ste 323, Fort Lee, NJ and can be reached out via phone at 917-667-0242.

Location: 440 West St Ste 323, Fort Lee, NJ, 07666-4203
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699161802
Provider Name
Irina Bashkirov
Credential
LAC
Provider Entity Type
Individual
Gender
Female
Address
440 West St Ste 323, Fort Lee, NJ, 07666-4203
Phone Number
917-667-0242
Fax Number
Provider Enumeration Date
04/14/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
440 West St Ste 323
City
Fort Lee
State
New Jersey
Zip
07024-5028
Phone Number
917-667-0242
Fax Number
person
Provider Business Mailing Address Details
Address
440 West St Ste 323
City
Fort Lee
State
New Jersey
Zip
07024-5028
Phone Number
917-667-0242
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
37AC00246600 (New Jersey)
Definition
Definition to come...
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