Individual provider · Type 1 NPI

Autumn Irvine, SUDP, CAAR

Counselor · Kelso, WA

NPI number 1871029140 Active

Practice location

404 W Main St
Kelso, WA 98626-1118

Call (360) 423-2806 Map

Fax (360) 423-5128

Mailing address

913 Olson Rd Apt A
Longview, WA 98632-5467

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XCP 60188084 (WA)
Counselor Primary 101Y00000XCG61313331 (WA)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1871029140

Autumn Irvine, SUDP, CAAR's National Provider Identifier is 1871029140, issued on May 5, 2017. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Kelso, WA. The record was last updated on Feb 28, 2023.