Individual provider · Type 1 NPI

Donna M. Degeorge, PCC, LICDC

Mental Health Counselor · Ashtabula, OH

NPI number 1104135367 Active

Practice location

2801 C Ct
Ashtabula, OH 44004-4577

Call (440) 998-4210 Map

Fax (440) 998-6489

Mailing address

2330 Columbus Ave
Ashtabula, OH 44004-5039

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X081002 (OH)
Mental Health Counselor Primary 101YM0800XE0800311 (OH)

Mental Health Counselor: Definition to come...

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About NPI 1104135367

Donna M. Degeorge, PCC, LICDC's National Provider Identifier is 1104135367, issued on Oct 5, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ashtabula, OH. The record was last updated on Oct 5, 2010.