Individual
MRS. DEBRA DENISE DEBLANC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1443 STEINER AVE, DAYTON, OH 45417-3813
(937) 754-0528
Mailing address
1443 STEINER AVE, DAYTON, OH 45417-3813
(937) 754-0528
(937) 754-0528
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
080774
OH
101YP1600X
Pastoral Counselor
ORDAINED
OH
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
080774
OH
Other
Enumeration date
03/08/2012
Last updated
05/28/2012
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