Doctor Name: | DEBRA L. MINETOR |
NPI Number: | 1003060872 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, LPC |
License Number: | LPC- 12616 |
Business Practice Address: | Caps Campus Health Service 1224 E. Lowell Street Tucson, AZ - 857210001 |
Business Phone Number: | 5216213334 |
Business Fax Number: | |
Mailing Address: | Caps Campus Health Service, P.o. Box 210095 TUCSON |
State: | AZ |
Postal Code: | 857210001 |
Phone Number: | 5206213334 |
Fax Number: | |
NPI Enumeration Date: | 11/06/2008 |
NPI Last Update Date: | 11/06/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LPC- 12616 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |