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Nicole Irby, SUBSTANCEABUSE
Addiction (Substance Use Disorder) Counselor in Pasadena, California
NPI 1801473228

Nicole Irby is an Addiction (Substance Use Disorder) Counselor based in Pasadena, CA and is specialized in Addiction (Substance Use Disorder). Nicole Irby practices in Pasadena, CA and has the professional credentials of SUBSTANCEABUSE. The NPI Number for Nicole Irby is 1801473228 and holds a License No. R1416050121 (California).

The current practice location address for Nicole Irby is 225 Grandview St, Pasadena, CA and can be reached out via phone at 626-676-3690.

Location: 225 Grandview St, Pasadena, CA, 91104-2114
person
Provider Profile Details
NPI Number
1801473228
Provider Name
Nicole Irby
Credential
SUBSTANCEABUSE
Provider Entity Type
Individual
Gender
Female
Address
225 Grandview St, Pasadena, CA, 91104-2114
Phone Number
626-676-3690
Fax Number
Provider Enumeration Date
03/24/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
R1416050121 01 CA CCAPP
institution
Provider Business Practice Location Address Details
Address
225 Grandview St
City
State
Zip
91104-2114
Phone Number
626-676-3690
Fax Number
person
Provider Business Mailing Address Details
Address
225 Grandview St
City
State
Zip
91104-2114
Phone Number
626-676-3690
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
R1416050121 (California)
Definition
Definition to come...
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