Doctor Name: | DEBORAH DORRIS |
NPI Number: | 1023385655 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 1384 |
Business Practice Address: | 315 Saint Lukes Dr Montgomery, AL - 361177109 |
Business Phone Number: | 3344099242 |
Business Fax Number: | 3344099186 |
Mailing Address: | 315 Saint Lukes Dr, MONTGOMERY |
State: | AL |
Postal Code: | 361177109 |
Phone Number: | 3344099242 |
Fax Number: | 3344099186 |
NPI Enumeration Date: | 11/28/2011 |
NPI Last Update Date: | 11/28/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 1384 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |