Provider Demographics
NPI:1598893075
Name:FURIE-SMUCKLER, DEBRA ERIN (MA, MFT)
Entity Type:Individual
Prefix:MRS
First Name:DEBRA
Middle Name:ERIN
Last Name:FURIE-SMUCKLER
Suffix:
Gender:F
Credentials:MA, MFT
Other - Prefix:MS
Other - First Name:DEBRA
Other - Middle Name:ERIN
Other - Last Name:FURIE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, MFT
Mailing Address - Street 1:22231 MULHOLLAND HWY
Mailing Address - Street 2:SUITE 212B
Mailing Address - City:CALABASAS
Mailing Address - State:CA
Mailing Address - Zip Code:91302
Mailing Address - Country:US
Mailing Address - Phone:818-878-0184
Mailing Address - Fax:818-884-6197
Practice Address - Street 1:22231 MULHOLLAND HWY
Practice Address - Street 2:SUITE 212B
Practice Address - City:CALABASAS
Practice Address - State:CA
Practice Address - Zip Code:91302
Practice Address - Country:US
Practice Address - Phone:818-878-0184
Practice Address - Fax:818-884-6197
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2008-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA36594101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health