Individual
MS. DONNA M DEGEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PCC, LICDC
Contact information
Practice address
2801 C CT, ASHTABULA, OH 44004-4577
(440) 998-4210
(440) 998-6489
Mailing address
2330 COLUMBUS AVE, ASHTABULA, OH 44004-5039
(440) 998-4210
(440) 998-6489
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
081002
OH
101YM0800X
Mental Health Counselor
Primary
E0800311
OH
Other
Enumeration date
10/05/2010
Last updated
10/05/2010
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