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NPI Code Detail

MEDICARE: MRS. DEBRA THURMAN DOBBS LPC

MEDICARE: MRS. DEBRA THURMAN DOBBS LPC
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
1101YP2500XProfessional Counselor6401007134MI

General Provider Information

NPI Number : 1134458029
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DEBRA THURMAN DOBBS LPC
Provider Business Mailing Address
First Line : W2395 CHARLES MORAN RD
Second Line :
City : MORAN
State : MI
Zip : 49760-9792
Country : US
Telephone Number : 989-858-5046
Fax Number :
Provider Business Practice Location Address
First Line : 114 W ELLIOTT ST
Second Line :
City : SAINT IGNACE
State : MI
Zip : 49781-1868
Country : US
Telephone Number : 989-643-2111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/23/2009
Last Update Date : 08/18/2014

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