| Doctor Name: | MS. DEBRA JEANNE SLAVIK |
| NPI Number: | 1306186325 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC, LAMFT |
| License Number: | 01185 |
| Business Practice Address: | 15252 W Freeway Dr Ne Ste 1 Forest Lake, MN - 550258120 |
| Business Phone Number: | 6513047667 |
| Business Fax Number: | |
| Mailing Address: | 15252 W Freeway Dr Ne Ste 1, FOREST LAKE |
| State: | MN |
| Postal Code: | 550258120 |
| Phone Number: | 6513047667 |
| Fax Number: | |
| NPI Enumeration Date: | 02/28/2013 |
| NPI Last Update Date: | 04/24/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 01185 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |