Provider Demographics
NPI:1811561236
Name:TOPP, IRENE LOUISE (LPC)
Entity Type:Individual
Prefix:
First Name:IRENE
Middle Name:LOUISE
Last Name:TOPP
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 583
Mailing Address - Street 2:
Mailing Address - City:SAGLE
Mailing Address - State:ID
Mailing Address - Zip Code:83860-0583
Mailing Address - Country:US
Mailing Address - Phone:208-946-6059
Mailing Address - Fax:
Practice Address - Street 1:211 TOPP'S RD
Practice Address - Street 2:
Practice Address - City:SAGLE
Practice Address - State:ID
Practice Address - Zip Code:83860-8386
Practice Address - Country:US
Practice Address - Phone:208-946-6059
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-19
Last Update Date:2021-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLPC-8113101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health