DARRELL DEAN IRVINE

OMAHA, NE
NPI1033861695
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NE  12873)
Enumeration Date2022-01-24
Last Update Date2023-07-19
Business Address
DARRELL DEAN IRVINE PMHP
13513 COTTNER ST
OMAHA, NE 68137-1629
Phone number: 402-809-9465
Mailing Address
DARRELL DEAN IRVINE PMHP
PO BOX 460775
PAPILLION, NE 68046-0775
Phone number: 402-730-3326
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