Individual
DEBRA G. CHARVERON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1770 E LAKE SHORE DR, DECATUR, IL 62521-3832
(217) 429-9700
Mailing address
4340 LAWSON DR, DECATUR, IL 62526-1127
(217) 875-7595
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180003894
IL
Other
Enumeration date
04/21/2007
Last updated
07/09/2008
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