Provider Demographics
NPI:1508112046
Name:CATES, DEBORAH VICTORIA (LPC)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:VICTORIA
Last Name:CATES
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 1:233 W MOUNTAIN ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:KERNERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27284-2529
Mailing Address - Country:US
Mailing Address - Phone:336-996-7377
Mailing Address - Fax:
Practice Address - Street 1:233 W MOUNTAIN ST
Practice Address - Street 2:SUITE 201
Practice Address - City:KERNERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:27284-2529
Practice Address - Country:US
Practice Address - Phone:336-996-7377
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-02
Last Update Date:2012-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2784101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional