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Individual

CARRIE LYNN DEBORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1434 N. COURT ST., CIRCLEVILLE, OH 43113
(614) 766-0161
(614) 766-0298
Mailing address
7251 SAWMILL RD., SUITE 150, DUBLIN, OH 43016
(614) 766-0161
(614) 766-0298

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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