Provider Demographics
NPI:1477936201
Name:PRISBREY, DEBI (MS, SUDC, ACMHC)
Entity Type:Individual
Prefix:MS
First Name:DEBI
Middle Name:
Last Name:PRISBREY
Suffix:
Gender:F
Credentials:MS, SUDC, ACMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:74 E MAIN ST # 9B
Mailing Address - Street 2:
Mailing Address - City:VERNAL
Mailing Address - State:UT
Mailing Address - Zip Code:84078-2600
Mailing Address - Country:US
Mailing Address - Phone:435-789-1447
Mailing Address - Fax:435-789-1447
Practice Address - Street 1:1165 W INDIAN HILLS DR UNIT 241
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84770-6832
Practice Address - Country:US
Practice Address - Phone:435-688-2428
Practice Address - Fax:435-578-8008
Is Sole Proprietor?:No
Enumeration Date:2015-06-29
Last Update Date:2015-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT1968146009101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health