Individual
DEBORAH J. REICHENBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MDIV, MA
Contact information
Practice address
164 S MAIN ST, MARENGO, IN 47140-3100
(812) 365-2770
Mailing address
164 S MAIN ST, P O BOX 277, MARENGO, IN 47140-3100
(812) 365-2770
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39001696A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39001696A
MENTAL HEALTH COUNSELOR
IN
Enumeration date
12/13/2011
Last updated
12/13/2011
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