Individual
MS. DEANA JUDITH COUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRC, LPCC-S
Contact information
Practice address
13172 MAIN ST # 55, WESTON, OH 43569-9990
(419) 806-5688
(419) 754-2609
Mailing address
PO BOX 55, WESTON, OH 43569-0055
(419) 936-7744
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
6401223497
MI
101YP2500X
Professional Counselor
Primary
E-2001973-SUPV
OH
225C00000X
Rehabilitation Counselor
00094728
—
Other
Enumeration date
11/27/2012
Last updated
08/29/2024
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