Provider Demographics
NPI:1306044706
Name:NORTON, DEBORAH RENEE (LCPC)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:RENEE
Last Name:NORTON
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31126 PRAIRIE RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:LIBERTYVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60048-4898
Mailing Address - Country:US
Mailing Address - Phone:224-406-1474
Mailing Address - Fax:224-513-4641
Practice Address - Street 1:128 NEWBERRY AVENUE
Practice Address - Street 2:SUITE #8
Practice Address - City:LIBERTYVILLE
Practice Address - State:IL
Practice Address - Zip Code:60048-1923
Practice Address - Country:US
Practice Address - Phone:224-406-1474
Practice Address - Fax:224-513-4641
Is Sole Proprietor?:No
Enumeration Date:2007-07-06
Last Update Date:2009-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180006616101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional