Provider Demographics
NPI:1174668867
Name:TRAUGHBER, DEBRA L (LPC-S, ACS)
Entity Type:Individual
Prefix:MS
First Name:DEBRA
Middle Name:L
Last Name:TRAUGHBER
Suffix:
Gender:F
Credentials:LPC-S, ACS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17184 COVENTRY ESTATES BLVD
Mailing Address - Street 2:
Mailing Address - City:DIBERVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:39540-3336
Mailing Address - Country:US
Mailing Address - Phone:228-861-4432
Mailing Address - Fax:
Practice Address - Street 1:17184 COVENTRY ESTATES BLVD
Practice Address - Street 2:
Practice Address - City:DIBERVILLE
Practice Address - State:MS
Practice Address - Zip Code:39540-3336
Practice Address - Country:US
Practice Address - Phone:228-861-4432
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-20
Last Update Date:2014-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL729101YP2500X
MS1324101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional