Provider Demographics
NPI:1053643601
Name:SCARBOROUGH, DEBORAH MICHELE (MED/LPC)
Entity Type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:MICHELE
Last Name:SCARBOROUGH
Suffix:
Gender:F
Credentials:MED/LPC
Other - Prefix:MISS
Other - First Name:DEBORAH
Other - Middle Name:MICHELE
Other - Last Name:KUTNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MED/LPCA
Mailing Address - Street 1:5013 WRIGHTSVILLE AVE
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28403-7045
Mailing Address - Country:US
Mailing Address - Phone:910-796-6868
Mailing Address - Fax:910-796-6869
Practice Address - Street 1:5013 WRIGHTSVILLE AVE
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403
Practice Address - Country:US
Practice Address - Phone:910-796-6868
Practice Address - Fax:910-796-6869
Is Sole Proprietor?:No
Enumeration Date:2010-02-08
Last Update Date:2018-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7957101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional