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1740062900
KISHA IRVINS
LEMON GROVE, CA
NPI
1740062900
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-10-20
Last Update Date
2023-10-20
Business Address
KISHA IRVINS
2049 SKYLINE DR
LEMON GROVE, CA 91945-4221
Phone number: 619-465-7303
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Mailing Address
KISHA IRVINS
1400 N JOHNSON AVE STE 101
EL CAJON, CA 92020-1651
Phone number:
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