Individual provider · Type 1 NPI

Irene Francis Booth

Mental Health Counselor · Grants Pass, OR

NPI number 1104257815 Active

Practice location

1215 SW G. Street
Grants Pass, OR 97527-2544

Fax (541) 476-1526

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1104257815

Irene Francis Booth's National Provider Identifier is 1104257815, issued on Dec 5, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Grants Pass, OR. The record was last updated on Dec 5, 2013.