Individual
DEANNA L CHASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PCCS, LICDC, CRC
Contact information
Practice address
333 W WOOSTER ST, BOWLING GREEN, OH 43402-2807
(419) 779-0657
(419) 725-0716
Mailing address
333 W WOOSTER ST, BOWLING GREEN, OH 43402-2807
(419) 352-5387
(419) 725-0716
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
E2766
OH
101YP2500X
Professional Counselor
Primary
E0002766
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0165835
—
OH
Enumeration date
04/01/2008
Last updated
02/09/2023
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