NPI | 1023756699 |
---|---|
Doing Business As | IRENIC COUNSELING, LLC. |
Entity Type | Organization |
Authorized Contact | TAYLER HOOGEVEEN Clinical Social Worker 507-227-5266 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2022-05-24 |
Last Update Date | 2022-10-17 |