Individual
DEBORAH WAUTHIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW/LSW, LCDCIII
Contact information
Practice address
11660 UPPER GILCHRIST RD, MOUNT VERNON, OH 43050-9084
(740) 392-2200
Mailing address
11660 UPPER GILCHRIST RD, MOUNT VERNON, OH 43050-9084
(740) 392-2200
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
S.2207271
OH
Other
Enumeration date
11/16/2016
Last updated
02/27/2024
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