Jeremy Wayne Irvin LCSW, MED

NPI # 

Practice Address:

6003 W Overland Rd Ste 105

Boise, ID, 83709-3075

Practice Phone:

208-417-8428

Practice Fax:

208-216-1434

License Number:

LCSW-36060

License State:

ID

Taxonomy Grouping:

Behavioral Health & Social Service Providers

Taxonomy Classification:

Social Worker

Taxonomy Specialization:

Clinical

Taxonomy Code:

1041C0700X

Updated by NPPES on 12/10/2021. You can view the original data set for NPI # 1245684927 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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Jeremy Wayne Irvin , LCSW, MED 's

CMS CPT® coding data

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Jeremy Wayne Irvin , LCSW, MED 's

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