| Organization Name: | JUDY L. DAUBENMIRE |
| NPI Number: | 1205200250 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JUDY DAUBENMIRE (LPCC) |
| Mailing Address: | 545 N Broad St Suite 4 Canfield |
| State: | OH US |
| Postal Code: | 444069200 |
| Phone Number: | 3307706269 |
| Fax Number: | |
| NPI Enumeration Date: | 11/13/2015 |
| NPI Last Update Date: | 11/13/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 0003700 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |