| Doctor Name: | DEBORAH THREADGILL |
| NPI Number: | 1265662548 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 1286 |
| Business Practice Address: | 123 2nd Ave Nw Fayette, AL - 355552511 |
| Business Phone Number: | 2059323216 |
| Business Fax Number: | |
| Mailing Address: | 1100 7th Ave, JASPER |
| State: | AL |
| Postal Code: | 355014377 |
| Phone Number: | 2053029000 |
| Fax Number: | |
| NPI Enumeration Date: | 07/21/2009 |
| NPI Last Update Date: | 07/21/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 1286 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |