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Individual

DEBORAH LYNN DEVINCENT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
1425 LIBERTY RD, SUITE 206, ELDERSBURG, MD 21784-6420
(410) 952-9966
(410) 552-9404
Mailing address
5614 COMPTON LN, ELDERSBURG, MD 21784-8868
(410) 952-9966
(410) 552-9404

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LC6876
MD
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC6876
MD
101YM0800X
Mental Health Counselor
LC6876
MD
101YP2500X
Professional Counselor
LC6876
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LC6876
MARYLAND BOARD OF PROFESSIONAL COUNSELORS AND THERAPISTS
MD
Enumeration date
07/03/2014
Last updated
02/02/2016
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