| Doctor Name: | JUDY L DAUBENMIRE |
| NPI Number: | 1043268006 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPCC |
| License Number: | E3700 |
| Business Practice Address: | 3974 Boardman Canfield Rd Canfield, OH - 44406 |
| Business Phone Number: | 3305336767 |
| Business Fax Number: | 3305331665 |
| Mailing Address: | 3974 Boardman Canfield Rd, Canfield Counseling Clinic Inc CANFIELD |
| State: | OH |
| Postal Code: | 44406 |
| Phone Number: | 3305336767 |
| Fax Number: | 3305331665 |
| NPI Enumeration Date: | 05/04/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | E3700 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |