Doctor Name: | DEBORAH JANE GREEN-COLBY |
NPI Number: | 1639416175 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMSW |
License Number: | LMSW-29067 |
Business Practice Address: | 2273 S Vista Ave Ste 190 Boise, ID - 837057341 |
Business Phone Number: | 2083432737 |
Business Fax Number: | |
Mailing Address: | 1047 Peregrine Dr, MIDDLETON |
State: | ID |
Postal Code: | 836445933 |
Phone Number: | 2089141353 |
Fax Number: | |
NPI Enumeration Date: | 01/03/2013 |
NPI Last Update Date: | 01/03/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | LMSW-29067 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ID |
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 |