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Individual

MRS. DEANA SHERBONDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LMHC

Contact information

Practice address
809 JEFFERSON AVE, LA PORTE, IN 46350-3431
(219) 898-5646
Mailing address
809 JEFFERSON AVENUE, LA PORTE, IN 46350-3431
(219) 898-5646

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39002214A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
39002214A
IN
Enumeration date
02/05/2013
Last updated
07/21/2017
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