Individual provider · Type 1 NPI
Benjawan Moolkeo Irwin, MC61356988
Mental Health Counselor · Spangle, WA
NPI number
1831894443
Active
Practice location
3025 E Spangle Waverly Rd # HOUSE19
Spangle, WA 99031-9703
Mailing address
3025 E Spangle Waverly Rd
Spangle, WA 99031-9703
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | MC61356988 (WA) |
Mental Health Counselor: Definition to come...
Other mental health counselor providers in Spangle
About NPI 1831894443
Benjawan Moolkeo Irwin, MC61356988's National Provider Identifier is 1831894443, issued on Apr 3, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Spangle, WA. The record was last updated on Apr 3, 2023.