| Doctor Name: | MS. DEBRA JILL SEVERSON |
| NPI Number: | 1205022316 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS LPC |
| License Number: | 1116 125 |
| Business Practice Address: | 23758 State Road 35 Siren, WI - 548720356 |
| Business Phone Number: | 7153498913 |
| Business Fax Number: | 7153498981 |
| Mailing Address: | 1821 1 1/2 St, Po Box 27 COMSTOCK |
| State: | WI |
| Postal Code: | 548260027 |
| Phone Number: | 7158222075 |
| Fax Number: | 7148222205 |
| NPI Enumeration Date: | 09/21/2007 |
| NPI Last Update Date: | 09/21/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 1116 125 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |