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
ZIP Code
07024-5028
Phone
(917) 667-0242

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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