Doctor Name: | MS. DEBORAH KAY CARSON |
NPI Number: | 1003239138 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.P.C. |
License Number: | LPC14109 |
Business Practice Address: | 1678 Oaklawn Dr Prescott, AZ - 863051109 |
Business Phone Number: | 9285337527 |
Business Fax Number: | 9287080120 |
Mailing Address: | 1678 Oaklawn Dr, PRESCOTT |
State: | AZ |
Postal Code: | 863051109 |
Phone Number: | 9285337527 |
Fax Number: | 9287080120 |
NPI Enumeration Date: | 01/24/2014 |
NPI Last Update Date: | 01/24/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LPC14109 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |