Irina Bashkirov, LAC
NPI #1699161802 in Fort Lee, New Jersey
Provider Information
- NPI Number
- 1699161802
- Entity Type
- Individual
- Name
- Irina Bashkirov, LAC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Credential
- LAC
- Enumeration Date
- Apr 14, 2015
- Last Updated
- Apr 14, 2015
Practice Location
- Address
- 440 WEST ST STE 323
- City
- Fort Lee
- State
- New Jersey
- ZIP Code
- 07024-5028
- Phone
- (917) 667-0242
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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