Provider Demographics
NPI:1255680294
Name:SAUNDERS, DEBORAH WILKERSON (MA, LPC)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:WILKERSON
Last Name:SAUNDERS
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:DEBORAH
Other - Middle Name:WILKERSON
Other - Last Name:HOLT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA,LPC
Mailing Address - Street 1:736 TIARA DR
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28412-3266
Mailing Address - Country:US
Mailing Address - Phone:919-691-4071
Mailing Address - Fax:
Practice Address - Street 1:736 TIARA DR
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28412-3266
Practice Address - Country:US
Practice Address - Phone:919-691-4071
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-06
Last Update Date:2015-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA8132101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8132OtherLICENSED PROFESSIONAL COUNSELOR LICENSE NUMBER