Provider Demographics
NPI:1376140541
Name:TONE, DEBRA (SUDP)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:
Last Name:TONE
Suffix:
Gender:F
Credentials:SUDP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1219 EARNEST S BRAZILL ST
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98405-4025
Mailing Address - Country:US
Mailing Address - Phone:253-597-8022
Mailing Address - Fax:253-597-8022
Practice Address - Street 1:1219 EARNEST BRAZILL ST
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98405-4025
Practice Address - Country:US
Practice Address - Phone:253-597-8022
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-01
Last Update Date:2020-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACP60188079101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)