Individual provider · Type 1 NPI
Crystal Irish, LADAC
Addiction (Substance Use Disorder) Counselor · White River Jct, VT
NPI number
1972193266
Active
Practice location
39 Fogg Farm Rd
White River Jct, VT 05088-0508
Mailing address
PO Box G
Randolph, VT 05060-0167
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 151.0134105 (VT) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1972193266
Crystal Irish, LADAC's National Provider Identifier is 1972193266, issued on Jan 21, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in White River Jct, VT. The record was last updated on Jan 21, 2021.