Provider Demographics
NPI:1609083500
Name:WAHUS, DEBORAH ELIZABETH (LPC)
Entity Type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:ELIZABETH
Last Name:WAHUS
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 1:901 6TH ST W
Mailing Address - Street 2:
Mailing Address - City:WILLISTON
Mailing Address - State:ND
Mailing Address - Zip Code:58801-4810
Mailing Address - Country:US
Mailing Address - Phone:701-572-7217
Mailing Address - Fax:
Practice Address - Street 1:901 6TH ST W
Practice Address - Street 2:
Practice Address - City:WILLISTON
Practice Address - State:ND
Practice Address - Zip Code:58801-4810
Practice Address - Country:US
Practice Address - Phone:701-572-7217
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND481-8-1-02101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional