Doctor Name: | DEBRA COLE CULBERTSON |
NPI Number: | 1356787899 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 3474 |
Business Practice Address: | 414 S Pine St Walhalla, SC - 296912146 |
Business Phone Number: | 8648864400 |
Business Fax Number: | |
Mailing Address: | 259 Winstead Rd, WEST UNION |
State: | SC |
Postal Code: | 296963026 |
Phone Number: | 8647104723 |
Fax Number: | |
NPI Enumeration Date: | 05/10/2013 |
NPI Last Update Date: | 10/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 3474 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |