Provider Demographics
NPI:1134210032
Name:ADDUCI, DEIRDRE (LSW,LIMFT,LICDC,LPCC)
Entity type:Individual
Prefix:MRS
First Name:DEIRDRE
Middle Name:
Last Name:ADDUCI
Suffix:
Gender:F
Credentials:LSW,LIMFT,LICDC,LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:197 W MAIN ST STE D
Mailing Address - Street 2:
Mailing Address - City:CORTLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44410-1460
Mailing Address - Country:US
Mailing Address - Phone:330-270-8494
Mailing Address - Fax:330-270-0567
Practice Address - Street 1:197 W MAIN ST STE D
Practice Address - Street 2:
Practice Address - City:CORTLAND
Practice Address - State:OH
Practice Address - Zip Code:44410
Practice Address - Country:US
Practice Address - Phone:330-270-8494
Practice Address - Fax:330-270-0567
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2018-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0008081101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional