Individual
MS. DEBRA FAY DISNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
7617 N VILLA WOOD LN, PEORIA, IL 61614-1588
(309) 693-8200
Mailing address
7617 N VILLA WOOD LN, PEORIA, IL 61614-1588
(309) 693-8200
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180-007284
IL
Other
Enumeration date
03/27/2010
Last updated
05/20/2011
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