Provider Demographics
NPI:1457657959
Name:PAULS, DEBORAH K (LPC)
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:K
Last Name:PAULS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 N MINE LA MOTTE ST
Mailing Address - Street 2:
Mailing Address - City:FREDERICKTOWN
Mailing Address - State:MO
Mailing Address - Zip Code:63645-1203
Mailing Address - Country:US
Mailing Address - Phone:573-366-6083
Mailing Address - Fax:
Practice Address - Street 1:201 N MINE LA MOTTE ST
Practice Address - Street 2:
Practice Address - City:FREDERICKTOWN
Practice Address - State:MO
Practice Address - Zip Code:63645-1203
Practice Address - Country:US
Practice Address - Phone:573-366-6083
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-31
Last Update Date:2011-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2008014403101YP2500X
MO0351853101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool