Elijah Irving

NPI #1477029817 in Nazareth, Pennsylvania

Provider Information

NPI Number: 1477029817
Entity Type: Individual
Name: Elijah Irving
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Enumeration Date: Oct 23, 2018
Last Updated: Oct 23, 2018

Practice Location

Address: 2325 OLD TOWNE RD
City: Nazareth
State: Pennsylvania
ZIP Code: 18064-1459
Phone: (908) 405-9214

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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Organizations

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