Provider Demographics
NPI:1891442653
Name:DAI'RE, DEBORAH (MS)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:
Last Name:DAI'RE
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2535 MADISON ST STE E
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37043-3921
Mailing Address - Country:US
Mailing Address - Phone:615-398-2123
Mailing Address - Fax:
Practice Address - Street 1:2535 MADISON ST STE E
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37043-3921
Practice Address - Country:US
Practice Address - Phone:615-398-2123
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-02
Last Update Date:2022-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor