Individual
MS. DEBRA LYNNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6750 MCCOY RD, RICKREALL, OR 97371-9717
(541) 231-7897
Mailing address
6750 MCCOY RD, RICKREALL, OR 97371-9717
(541) 231-7897
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0089671
NM
101YP2500X
Professional Counselor
Primary
C-1964
OR
Other
Enumeration date
02/20/2009
Last updated
02/20/2009
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