Provider Demographics
NPI:1336311398
Name:BILLS, DEVORA ANN
Entity Type:Individual
Prefix:MRS
First Name:DEVORA
Middle Name:ANN
Last Name:BILLS
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:DEVORA
Other - Middle Name:ANN
Other - Last Name:WRIGHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:811 MADISON ST
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98203-4543
Mailing Address - Country:US
Mailing Address - Phone:425-347-3149
Mailing Address - Fax:425-290-7485
Practice Address - Street 1:811 MADISON ST
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98203-4543
Practice Address - Country:US
Practice Address - Phone:425-347-3149
Practice Address - Fax:425-290-7485
Is Sole Proprietor?:No
Enumeration Date:2008-03-31
Last Update Date:2008-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor