Judy L. Daubenmire

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0003700 Issued in OH

Legal business name

JUDY L. DAUBENMIRE

Practice address

545 N Broad St
Suite 4
Canfield, OH 44406-9200

Phone

(330) 770-6269

NPI assigned

Nov 13, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Judy Daubenmire

Title

LPCC

Phone

(330) 720-6463

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1447372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447372800000",
    "number": "1205200250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 N BROAD ST",
            "address_2": "SUITE 4",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444069200",
            "telephone_number": "330-770-6269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 N BROAD ST",
            "address_2": "SUITE 4",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444069200",
            "telephone_number": "330-770-6269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDY L. DAUBENMIRE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-13",
        "last_updated": "2015-11-13",
        "status": "A",
        "authorized_official_last_name": "DAUBENMIRE",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "LPCC",
        "authorized_official_telephone_number": "330-720-6463"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "0003700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Canfield, OH
• Providers in Canfield, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.