Individual
DEBORAH C FOSTER-KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC-S, LICDC
Contact information
Practice address
1680 NAVE RD SE, MASSILLON, OH 44646-9604
(330) 830-8740
(330) 837-4603
Mailing address
625 CLEVELAND AVE NW, CANTON, OH 44702-1805
(330) 455-0374
(330) 453-6716
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC944118
OH
101YP2500X
Professional Counselor
Primary
E0001812SUPV
OH
Other
Enumeration date
02/16/2006
Last updated
07/02/2019
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