MS. Debra Fay Disney, LCPC

NPI #1003131541 in Peoria, Illinois

Provider Information

NPI Number
1003131541
Entity Type
Individual
Name
MS. Debra Fay Disney, LCPC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Professional
Credential
LCPC
Enumeration Date
Mar 27, 2010
Last Updated
May 20, 2011

Practice Location

Address
7617 N VILLA WOOD LN
City
Peoria
ZIP Code
61614-1588
Phone
(309) 693-8200

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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