Provider Demographics
NPI:1003116195
Name:DUBOIS, DEBORAH (M ED, LPC, NCC)
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:
Last Name:DUBOIS
Suffix:
Gender:F
Credentials:M ED, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1013 N 61ST ST
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76710-4359
Mailing Address - Country:US
Mailing Address - Phone:254-723-5930
Mailing Address - Fax:
Practice Address - Street 1:1013 N 61ST ST
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76710-4359
Practice Address - Country:US
Practice Address - Phone:254-723-5930
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-24
Last Update Date:2010-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX60933101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor