Individual
MARY ANGELYN DEBORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
409 GRAZING ACRES DR, NICKELSVILLE, VA 24271-3329
(276) 479-2062
Mailing address
409 GRAZING ACRES DR, NICKELSVILLE, VA 24271-3329
(276) 479-2062
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701005838
VA
Other
Enumeration date
07/08/2014
Last updated
06/27/2023
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