Doctor Name: | MS. ANNE FRANCES DURY |
NPI Number: | 1083834337 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LISW, LICDC, OCPSII |
License Number: | 954227 |
Business Practice Address: | 5 S Main St Ste 205 Oberlin, OH - 440741600 |
Business Phone Number: | 4404995323 |
Business Fax Number: | |
Mailing Address: | 1812 W 42nd St, LORAIN |
State: | OH |
Postal Code: | 440532614 |
Phone Number: | 4402257316 |
Fax Number: | |
NPI Enumeration Date: | 04/27/2007 |
NPI Last Update Date: | 09/26/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 954227 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |