| Doctor Name: | MRS. DEANN ELIZABETH MUCK |
| NPI Number: | 1306050703 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | C0004940 |
| Business Practice Address: | 420 Youngstown Poland Rd Struthers, OH - 444711058 |
| Business Phone Number: | 3307552147 |
| Business Fax Number: | 3307552846 |
| Mailing Address: | 1035 Academy Dr, YOUNGSTOWN |
| State: | OH |
| Postal Code: | 445051619 |
| Phone Number: | 3303188708 |
| Fax Number: | |
| NPI Enumeration Date: | 05/09/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | C0004940 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |