Provider Demographics
NPI:1770027328
Name:MCILRATH, JOSHUA (LPCC)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:
Last Name:MCILRATH
Suffix:
Gender:M
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10908 S US HIGHWAY 53
Mailing Address - Street 2:
Mailing Address - City:SOLON SPRINGS
Mailing Address - State:WI
Mailing Address - Zip Code:54873-8103
Mailing Address - Country:US
Mailing Address - Phone:218-606-0819
Mailing Address - Fax:
Practice Address - Street 1:1702 MILLER TRUNK HWY STE 214
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:MN
Practice Address - Zip Code:55811-4448
Practice Address - Country:US
Practice Address - Phone:218-727-3888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-15
Last Update Date:2023-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health