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NPI Code Detail

MEDICARE: DEBORAH POUNDS

MEDICARE: DEBORAH POUNDS
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
1101YA0400XAddiction (Substance Use Disorder) Counselor081075OH

General Provider Information

NPI Number : 1235585415
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBORAH POUNDS
Provider Business Mailing Address
First Line : 3035 W BROAD ST STE 101
Second Line :
City : COLUMBUS
State : OH
Zip : 43204-2653
Country : US
Telephone Number : 614-272-7005
Fax Number : 614-272-7008
Provider Business Practice Location Address
First Line : 3035 W BROAD ST STE 101
Second Line :
City : COLUMBUS
State : OH
Zip : 43204-2653
Country : US
Telephone Number : 614-272-7005
Fax Number : 614-272-7008
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/06/2016
Last Update Date : 05/06/2016

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Directions to “ DEBORAH POUNDS ” Practice Location

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