Chase, Deanna L

Chase, Deanna L is an sole proprietor health care provider with primary practice located at 333 W Wooster St , Bowling Green OH 43402-2807. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Chase, Deanna L can be contacted via phone (419) 779-0657.

Contact Information

Primary practice address
333 W Wooster St Bowling Green OH 43402-2807
Phone: (419) 779-0657
Fax: (419) 725-0716
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X E0002766 Ohio
Behavioral Health & Social Service Providers / Counselor 101Y00000X E2766 Ohio

Profile Details

NPI number 1942472733
LBN Legal business name Chase, Deanna L
Credentials PCCS, LICDC, CRC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 1st, 2008
Last updated Feb 9th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942472733 NPPES
Ohio MEDICAID 0165835

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