Provider Demographics
NPI:1598991192
Name:WEBSTER, DEBORAH ANN (LPC)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:ANN
Last Name:WEBSTER
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 1:731 SWINGING BRIDGES RD
Mailing Address - Street 2:
Mailing Address - City:MONTREAL
Mailing Address - State:MO
Mailing Address - Zip Code:65591-8109
Mailing Address - Country:US
Mailing Address - Phone:573-317-7517
Mailing Address - Fax:
Practice Address - Street 1:731 SWINGING BRIDGES RD
Practice Address - Street 2:
Practice Address - City:MONTREAL
Practice Address - State:MO
Practice Address - Zip Code:65591-8109
Practice Address - Country:US
Practice Address - Phone:573-317-7517
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-09
Last Update Date:2009-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2004014039101Y00000X, 101YA0400X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health