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Individual

DEBORA KAY RUEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1400 VICKSBURG DR, BELLEVILLE, IL 62221-5760
(618) 567-0925
Mailing address
PO BOX 732, O FALLON, IL 62269-0732
(618) 567-0925

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
178.019516
IL
101Y00000X
Counselor
Primary
101YM0800X
Mental Health Counselor
178.019516
IL
101YP2500X
Professional Counselor
178.019516
IL

Other

Enumeration date
02/02/2007
Last updated
01/16/2024
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