Individual provider · Type 1 NPI

John R. Debruyne Ii, M.S.W., M.B.A

Clinical Social Worker · Ottawa Lake, MI

NPI number 1326138595 Active

Practice location

6833 Sylvania Petersburg Rd
Ottawa Lake, MI 49267-9523

Fax (419) 824-1558

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XI-0004362 (OH)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1326138595

John R. Debruyne Ii, M.S.W., M.B.A's National Provider Identifier is 1326138595, issued on Oct 16, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Ottawa Lake, MI. The record was last updated on Jul 8, 2007.