Individual
DEBORAH ANNE JORGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
S.1701367
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC.162988
OH
104100000X
Social Worker
Primary
S.1701367
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0333443
—
OH
01
—
LCDCIII.161801
LICENSE
OH
01
—
S.1701367
LICENSE
OH
Enumeration date
10/23/2009
Last updated
07/08/2026
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