Provider Demographics
NPI:1164684478
Name:CORBETT, DEBRA L (MS, NCC, LPC)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:L
Last Name:CORBETT
Suffix:
Gender:F
Credentials:MS, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8921 CUMBERLAND CT
Mailing Address - Street 2:
Mailing Address - City:WAXHAW
Mailing Address - State:NC
Mailing Address - Zip Code:28173-6572
Mailing Address - Country:US
Mailing Address - Phone:704-340-1806
Mailing Address - Fax:
Practice Address - Street 1:8921 CUMBERLAND CT
Practice Address - Street 2:
Practice Address - City:WAXHAW
Practice Address - State:NC
Practice Address - Zip Code:28173-6572
Practice Address - Country:US
Practice Address - Phone:704-340-1806
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-27
Last Update Date:2013-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4262101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional