Individual provider · Type 1 NPI

Johnna Deberry

Mental Health Counselor · Danville, IL

NPI number 1700692316 Active

Practice location

102 Robinson St
Danville, IL 61832-8515

Mailing address

2610 W Richwoods Blvd
Peoria, IL 61604-7112

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1700692316

Johnna Deberry's National Provider Identifier is 1700692316, issued on Dec 9, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Danville, IL. The record was last updated on Dec 9, 2024.