Provider Demographics
NPI:1194827022
Name:HULLABY, DEBRA LOUENE (RAS)
Entity Type:Individual
Prefix:MS
First Name:DEBRA
Middle Name:LOUENE
Last Name:HULLABY
Suffix:
Gender:F
Credentials:RAS
Other - Prefix:
Other - First Name:DEBRA
Other - Middle Name:LOUENE
Other - Last Name:HARTSEL-JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1100 SPORTFISHER DR
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92054-2550
Mailing Address - Country:US
Mailing Address - Phone:760-439-6702
Mailing Address - Fax:
Practice Address - Street 1:1100 SPORTFISHER DR
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92054-2550
Practice Address - Country:US
Practice Address - Phone:760-439-6702
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2016-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)