Provider Demographics
NPI:1417195124
Name:CHRISTY, DEBRA A (LPC, LMFT)
Entity Type:Individual
Prefix:MRS
First Name:DEBRA
Middle Name:A
Last Name:CHRISTY
Suffix:
Gender:F
Credentials:LPC, LMFT
Other - Prefix:
Other - First Name:DEBRA
Other - Middle Name:ANN
Other - Last Name:OLIVER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, CADC II
Mailing Address - Street 1:P.O. BOX 1488
Mailing Address - Street 2:
Mailing Address - City:HERMISTON
Mailing Address - State:OR
Mailing Address - Zip Code:97838
Mailing Address - Country:US
Mailing Address - Phone:503-344-5426
Mailing Address - Fax:541-289-9868
Practice Address - Street 1:955 W. ORCHARD AVE.
Practice Address - Street 2:
Practice Address - City:HERMISTON
Practice Address - State:OR
Practice Address - Zip Code:97838
Practice Address - Country:US
Practice Address - Phone:503-334-5426
Practice Address - Fax:541-289-9868
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-03
Last Update Date:2012-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X
ORC2303101YP2500X
ORT0738106H00000X
OR01-07-11101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist