Doctor Name: | DEBRA CANDY BOYD |
NPI Number: | 1427117779 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW, LPC |
License Number: | 605-125 |
Business Practice Address: | 409 Cty Rd R Box 271 Black River Falls, WI - 54615 |
Business Phone Number: | 7152849477 |
Business Fax Number: | 7152845547 |
Mailing Address: | 66 E 3rd St, 201 WINONA |
State: | MN |
Postal Code: | 559873478 |
Phone Number: | 5074527292 |
Fax Number: | 5074579887 |
NPI Enumeration Date: | 12/06/2006 |
NPI Last Update Date: | 12/06/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 605-125 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |