| Doctor Name: | MARASRI DEBBIE MUTHIKUL |
| NPI Number: | 1053793414 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A. |
| License Number: | 1000 |
| Business Practice Address: | 801 Douglas Ave Suite 208 Altamonte Springs, FL - 327145206 |
| Business Phone Number: | 4078306412 |
| Business Fax Number: | |
| Mailing Address: | 694 Jamestown Blvd, Apt.2264 ALTAMONTE SPRINGS |
| State: | FL |
| Postal Code: | 327144693 |
| Phone Number: | 9735258122 |
| Fax Number: | |
| NPI Enumeration Date: | 06/22/2015 |
| NPI Last Update Date: | 06/22/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 1000 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |