Provider Demographics
NPI:1619177151
Name:COLLIER, DEBRAH JEAN (MFT)
Entity Type:Individual
Prefix:MS
First Name:DEBRAH
Middle Name:JEAN
Last Name:COLLIER
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1141 GRAY AVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95991-3200
Mailing Address - Country:US
Mailing Address - Phone:530-673-1340
Mailing Address - Fax:530-673-1955
Practice Address - Street 1:1141 GRAY AVE
Practice Address - Street 2:SUITE C
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95991-3200
Practice Address - Country:US
Practice Address - Phone:530-673-1340
Practice Address - Fax:530-673-1955
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-23
Last Update Date:2007-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA44615106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist