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Individual

DEBRA CLATTERBUCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3270 ALBERT LONG DR, HARRISONBURG, VA 22801-2472
(540) 432-8660
Mailing address
3270 ALBERT LONG DR, HARRISONBURG, VA 22801-2472
(540) 432-8660

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701005580
VA
251S00000X
Community/Behavioral Health Agency
1691-05-001
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1154602639
VA
01
12657575
CAQH
Enumeration date
11/04/2014
Last updated
11/04/2014
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