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1962013821
AMBER IRVINE
MERIDIAN, ID
NPI
1962013821
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: ID LPC-7355)
Enumeration Date
2020-08-13
Last Update Date
2020-08-13
Business Address
MS. AMBER IRVINE LPC, NCC
750 W USTICK RD STE 120
MERIDIAN, ID 83646-6133
Phone number: 208-366-1601
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Mailing Address
MS. AMBER IRVINE LPC, NCC
3960 S PICASSO AVE
MERIDIAN, ID 83642-7893
Phone number: 208-447-8043
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