Provider Demographics
NPI:1003069451
Name:HALPERN, DEBORAH C (LPCC)
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:C
Last Name:HALPERN
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 26
Mailing Address - Street 2:
Mailing Address - City:ANGEL FIRE
Mailing Address - State:NM
Mailing Address - Zip Code:87710-0026
Mailing Address - Country:US
Mailing Address - Phone:575-377-2514
Mailing Address - Fax:575-377-1569
Practice Address - Street 1:93 HALO PINES TERRACE
Practice Address - Street 2:
Practice Address - City:ANGEL FIRE
Practice Address - State:NM
Practice Address - Zip Code:87710-0026
Practice Address - Country:US
Practice Address - Phone:575-377-2514
Practice Address - Fax:575-377-1569
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-29
Last Update Date:2008-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM1025101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health