Provider Demographics
NPI:1265630412
Name:EMERY, DEBORAH JO (MS, LCMHC)
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:JO
Last Name:EMERY
Suffix:
Gender:F
Credentials:MS, LCMHC
Other - Prefix:
Other - First Name:DEBORAH
Other - Middle Name:JO
Other - Last Name:EMERY-GIGLIOTTI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 7404
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03839
Mailing Address - Country:US
Mailing Address - Phone:603-433-3070
Mailing Address - Fax:603-590-2264
Practice Address - Street 1:ONE OLD DOVER ROAD
Practice Address - Street 2:SUITE #6
Practice Address - City:ROCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03867
Practice Address - Country:US
Practice Address - Phone:603-433-3070
Practice Address - Fax:603-590-2264
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-10
Last Update Date:2019-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH814101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional