Doctor Name: | DEBORAH KAY IGNACIO |
NPI Number: | 1164749529 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 16373 |
Business Practice Address: | 3141 Fm 2256 Mineral Wells, TX - 760671011 |
Business Phone Number: | 8174548882 |
Business Fax Number: | |
Mailing Address: | 3141 Fm 2256, MINERAL WELLS |
State: | TX |
Postal Code: | 760671011 |
Phone Number: | 8174548882 |
Fax Number: | |
NPI Enumeration Date: | 04/26/2010 |
NPI Last Update Date: | 04/26/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 16373 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |