Individual provider · Type 1 NPI

Debra Fay Disney, LCPC

Professional Counselor · Peoria, IL

NPI number 1003131541 Active

Practice location

7617 N Villa Wood Ln
Peoria, IL 61614-1588

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X180-007284 (IL)

Professional Counselor: Definition to come...

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About NPI 1003131541

Debra Fay Disney, LCPC's National Provider Identifier is 1003131541, issued on Mar 27, 2010. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Peoria, IL. The record was last updated on May 20, 2011.