Doctor Name: | MS. DEBRA SEACRIST |
NPI Number: | 1245513472 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M,ED., M.A. LPC |
License Number: | 62729 |
Business Practice Address: | 312 Wayne Ave Lubbock, TX - 794163104 |
Business Phone Number: | 8067932933 |
Business Fax Number: | |
Mailing Address: | 312 Wayne Ave, LUBBOCK |
State: | TX |
Postal Code: | 794163104 |
Phone Number: | 8067932933 |
Fax Number: | |
NPI Enumeration Date: | 09/23/2011 |
NPI Last Update Date: | 09/23/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 62729 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |