Provider Demographics
NPI:1225149230
Name:SINGLETON, DEBRA RENEE
Entity Type:Individual
Prefix:MS
First Name:DEBRA
Middle Name:RENEE
Last Name:SINGLETON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1840 WILSON AVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:NATIONAL CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91950-5515
Mailing Address - Country:US
Mailing Address - Phone:619-952-9159
Mailing Address - Fax:619-477-0799
Practice Address - Street 1:1840 WILSON AVE
Practice Address - Street 2:SUITE C
Practice Address - City:NATIONAL CITY
Practice Address - State:CA
Practice Address - Zip Code:91950-5515
Practice Address - Country:US
Practice Address - Phone:619-952-9159
Practice Address - Fax:619-477-0799
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA9610OtherUBH