| Doctor Name: | MS. DEBRA MARIE HEDDLESTEN |
| NPI Number: | 1942211677 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.ED, LADC, CM-D |
| License Number: | 566 |
| Business Practice Address: | 120 W 1st St Watonga, OK - 737723643 |
| Business Phone Number: | 5806232548 |
| Business Fax Number: | 5806232668 |
| Mailing Address: | Po Box 92, ALBERT |
| State: | OK |
| Postal Code: | 730010092 |
| Phone Number: | 5803302247 |
| Fax Number: | |
| NPI Enumeration Date: | 08/10/2006 |
| NPI Last Update Date: | 06/25/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 566 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |