Provider Demographics
NPI:1164720033
Name:RAMSDELL, DEBRA L (MS, LCPC)
Entity Type:Individual
Prefix:MS
First Name:DEBRA
Middle Name:L
Last Name:RAMSDELL
Suffix:
Gender:F
Credentials:MS, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2611 SNAPDRAGON ST
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59718-7511
Mailing Address - Country:US
Mailing Address - Phone:406-580-5609
Mailing Address - Fax:
Practice Address - Street 1:2023 STADIUM DR
Practice Address - Street 2:SUITE 2B
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59715-0613
Practice Address - Country:US
Practice Address - Phone:406-580-5609
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-02
Last Update Date:2011-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1546101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional