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NPI Code Detail

MEDICARE: DEBORAH ANN WINCHOCK-EBERT LMHC

MEDICARE: DEBORAH ANN WINCHOCK-EBERT LMHC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1144406653
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBORAH ANN WINCHOCK-EBERT LMHC
Provider Business Mailing Address
First Line : 1011 W INTERNATIONAL SPEEDWAY BLVD
Second Line :
City : DAYTONA BEACH
State : FL
Zip : 32114-3421
Country : US
Telephone Number : 386-238-3830
Fax Number : 386-238-2018
Provider Business Practice Location Address
First Line : 1011 W INTERNATIONAL SPEEDWAY BLVD
Second Line :
City : DAYTONA BEACH
State : FL
Zip : 32114-3421
Country : US
Telephone Number : 386-238-3830
Fax Number : 386-238-2018
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2008
Last Update Date : 01/15/2008

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