MEDICARE: MRS. DEBRA H HUGHES

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
1	101YA0400X	Addiction (Substance Use Disorder) Counselor		OH

General Provider Information

NPI Number	:	1215786009
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DEBRA H HUGHES

Provider Business Mailing Address
First Line	:	407 BOARDMAN CANFIELD RD # 3592
Second Line	:
City	:	BOARDMAN
State	:	OH
Zip	:	44512-4730
Country	:	US
Telephone Number	:	330-623-3473
Fax Number	:

Provider Business Practice Location Address
First Line	:	407 BOARDMAN CANFIELD RD # 3592
Second Line	:
City	:	BOARDMAN
State	:	OH
Zip	:	44512-4730
Country	:	US
Telephone Number	:	330-623-3473
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/15/2024
Last Update Date	:	05/15/2024

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