Doctor Name: | MR. DELANO R. IRWIN |
NPI Number: | 1326202672 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | 2574 |
Business Practice Address: | 404 Frontage Rd New Town, ND - 587639404 |
Business Phone Number: | 7016274700 |
Business Fax Number: | 7016274105 |
Mailing Address: | 404 Frontage Rd, NEW TOWN |
State: | ND |
Postal Code: | 587639404 |
Phone Number: | 7016274700 |
Fax Number: | 7016274105 |
NPI Enumeration Date: | 07/16/2008 |
NPI Last Update Date: | 07/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 2574 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ND |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |