Provider Demographics
NPI:1134458029
Name:DOBBS, DEBRA THURMAN (LPC)
Entity Type:Individual
Prefix:MRS
First Name:DEBRA
Middle Name:THURMAN
Last Name:DOBBS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:W2395 CHARLES MORAN RD
Mailing Address - Street 2:
Mailing Address - City:MORAN
Mailing Address - State:MI
Mailing Address - Zip Code:49760-9792
Mailing Address - Country:US
Mailing Address - Phone:989-858-5046
Mailing Address - Fax:
Practice Address - Street 1:114 W ELLIOTT ST
Practice Address - Street 2:
Practice Address - City:SAINT IGNACE
Practice Address - State:MI
Practice Address - Zip Code:49781-1868
Practice Address - Country:US
Practice Address - Phone:989-643-2111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-23
Last Update Date:2014-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401007134101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional