Provider Demographics
NPI:1477938595
Name:KIRALY, IRENE (MA, LPCCS, CRC)
Entity Type:Individual
Prefix:MS
First Name:IRENE
Middle Name:
Last Name:KIRALY
Suffix:
Gender:F
Credentials:MA, LPCCS, CRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:940 MARION-WILLIAMSPORT ROAD
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:OH
Mailing Address - Zip Code:43302
Mailing Address - Country:US
Mailing Address - Phone:740-382-5781
Mailing Address - Fax:
Practice Address - Street 1:940 MARION WILLIAMSPORT RD E
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:OH
Practice Address - Zip Code:43302-8684
Practice Address - Country:US
Practice Address - Phone:740-382-5781
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-30
Last Update Date:2015-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE001761-SUPV101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health