Provider Demographics
NPI:1497900674
Name:ZUCKER, DEBORAH (ND, LMHCA)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:
Last Name:ZUCKER
Suffix:
Gender:F
Credentials:ND, LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:356 IDAHO ST.
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97520
Mailing Address - Country:US
Mailing Address - Phone:206-834-4183
Mailing Address - Fax:206-834-4131
Practice Address - Street 1:356 IDAHO ST.
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:OR
Practice Address - Zip Code:97520
Practice Address - Country:US
Practice Address - Phone:360-389-2182
Practice Address - Fax:206-834-4131
Is Sole Proprietor?:No
Enumeration Date:2008-12-01
Last Update Date:2021-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT60058606175F00000X
WA60058606175F00000X
WAMC61205377101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No175F00000XOther Service ProvidersNaturopath