Individual
CARRIE LYNN DEBORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C.1300434
OH
101YP2500X
Professional Counselor
C1300434
OH
101YP2500X
Professional Counselor
Primary
E.2202750
OH
Other
Enumeration date
11/06/2017
Last updated
10/09/2023
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