Provider Demographics
NPI:1487840666
Name:STAMM, DEBORAH E (MS LPC, CDC)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:E
Last Name:STAMM
Suffix:
Gender:F
Credentials:MS LPC, CDC
Other - Prefix:
Other - First Name:DEBORAH
Other - Middle Name:
Other - Last Name:STAMM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, LPC
Mailing Address - Street 1:4432 AMES AVE
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-1702
Mailing Address - Country:US
Mailing Address - Phone:907-317-1859
Mailing Address - Fax:907-802-6121
Practice Address - Street 1:405 E FIREWEED LN STE 201A
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99503-2145
Practice Address - Country:US
Practice Address - Phone:907-677-7636
Practice Address - Fax:907-802-6121
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-20
Last Update Date:2019-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK596101YA0400X, 101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health