Provider Demographics
NPI:1619006830
Name:ACKER, DEBBIE CHANTAL
Entity Type:Individual
Prefix:MS
First Name:DEBBIE
Middle Name:CHANTAL
Last Name:ACKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1000
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93302-1000
Mailing Address - Country:US
Mailing Address - Phone:661-868-6453
Mailing Address - Fax:661-327-8768
Practice Address - Street 1:1415 TRUXTUN AVE
Practice Address - Street 2:ROOM A440
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-5215
Practice Address - Country:US
Practice Address - Phone:661-868-6453
Practice Address - Fax:661-327-8768
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2016-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAO42240916101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)