Provider Demographics
NPI:1164103826
Name:MANESS, DEBORAH COOK (LPC)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:COOK
Last Name:MANESS
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 1:1608 SCOTTSDALE DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75023-7473
Mailing Address - Country:US
Mailing Address - Phone:972-748-6790
Mailing Address - Fax:
Practice Address - Street 1:1608 SCOTTSDALE DR
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75023-7473
Practice Address - Country:US
Practice Address - Phone:972-748-6790
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-26
Last Update Date:2023-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX62364101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor