Individual
DEBRA ANN HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1234 EMPIRE ST, FAIRFIELD, CA 94533-5711
(704) 397-7830
Mailing address
1234 EMPIRE ST STE 2000, FAIRFIELD, CA 94533-5711
(707) 439-7830
(707) 439-7844
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/30/2013
Last updated
12/08/2017
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