Provider Demographics
NPI:1215786009
Name:HUGHES, DEBRA H
Entity type:Individual
Prefix:MRS
First Name:DEBRA
Middle Name:H
Last Name:HUGHES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:407 BOARDMAN CANFIELD RD # 3592
Mailing Address - Street 2:
Mailing Address - City:BOARDMAN
Mailing Address - State:OH
Mailing Address - Zip Code:44512-4730
Mailing Address - Country:US
Mailing Address - Phone:330-623-3473
Mailing Address - Fax:
Practice Address - Street 1:407 BOARDMAN CANFIELD RD # 3592
Practice Address - Street 2:
Practice Address - City:BOARDMAN
Practice Address - State:OH
Practice Address - Zip Code:44512-4730
Practice Address - Country:US
Practice Address - Phone:330-623-3473
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-15
Last Update Date:2024-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)