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Individual

DR. DEBRA J. FARRELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD, LPC, CCMHC, NCC

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
C02376
MI
101YM0800X
Mental Health Counselor
318674
MI
101YP2500X
Professional Counselor
Primary
6401012447
MI
225C00000X
Rehabilitation Counselor
00049518
MI
225X00000X
Occupational Therapist
5201000678
MI

Other

Enumeration date
04/07/2014
Last updated
03/24/2018
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