Individual
DEBORAH ANN REUTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
645 S ROGERS ST, BLOOMINGTON, IN 47403-2353
(812) 339-1691
(812) 337-2438
Mailing address
645 S ROGERS ST, BLOOMINGTON, IN 47403-2353
(812) 339-1691
(812) 337-2438
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
34001751
IN
101YM0800X
Mental Health Counselor
34001751
IN
1041C0700X
Clinical Social Worker
Primary
34001751
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000216847
ANTHEM
—
Enumeration date
12/02/2005
Last updated
01/23/2015
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