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DEBORAH ANN REUTTER LCSW

Addiction Substance Use Disorder

Bloomington, Indiana

Provider NPI: 1629052675

Provider Information:
 DEBORAH ANN REUTTER LCSW
Gender: F
Not Sole Proprietor

Practice Location:
645 S ROGERS ST  BLOOMINGTON, IN 47403 US
Tel: 812-339-1691  Fax: 812-337-2438

Business Mailing Address:
645 S ROGERS ST  BLOOMINGTON, IN 47403 US
Tel: 812-339-1691  Fax: 812-337-2438

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
IN34001751
N101YM0800XBehavioral Health & Social Service Providers
Counselor
IN34001751
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
IN34001751

Other Provider Identifiers:

IssuerNumberStateType
ANTHEM00000021684701
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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