Provider Demographics
NPI:1093956856
Name:SALEM, DEBORAH L (CAADC, LPC)
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:L
Last Name:SALEM
Suffix:
Gender:F
Credentials:CAADC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2201 N 2ND ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17110-1007
Mailing Address - Country:US
Mailing Address - Phone:717-236-6630
Mailing Address - Fax:717-236-6677
Practice Address - Street 1:2201 N 2ND ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17110-1007
Practice Address - Country:US
Practice Address - Phone:717-236-6630
Practice Address - Fax:717-236-6677
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-09
Last Update Date:2019-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA1161101YA0400X
PAPC002367101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)