Provider Demographics
NPI:1902140544
Name:JOSEPH, DEBORAH ANN (LPCC, LICDC, CRC)
Entity type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:ANN
Last Name:JOSEPH
Suffix:
Gender:F
Credentials:LPCC, LICDC, CRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5872 ROCK HILL RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43213-2182
Mailing Address - Country:US
Mailing Address - Phone:614-370-2358
Mailing Address - Fax:614-293-9502
Practice Address - Street 1:5872 ROCK HILL RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43213-2182
Practice Address - Country:US
Practice Address - Phone:614-370-2358
Practice Address - Fax:614-293-9502
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-20
Last Update Date:2012-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE4051101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional