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Individual

DOUGLAS DEBRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
11 GRAHAM DR, ATHENS, OH 45701-1430
(800) 321-8293
Mailing address
PO BOX 132, ATHENS, OH 45701-0132
(740) 644-9872

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C.0006632
OH

Other

Enumeration date
10/08/2020
Last updated
10/08/2020
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