Provider Demographics
NPI:1629402409
Name:PASKIND, DEBRA A (ATR-BC, LCPC)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:A
Last Name:PASKIND
Suffix:
Gender:F
Credentials:ATR-BC, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5248 N WINTHROP AVE
Mailing Address - Street 2:2S
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60640-2300
Mailing Address - Country:US
Mailing Address - Phone:773-769-2322
Mailing Address - Fax:
Practice Address - Street 1:5248 N WINTHROP AVE
Practice Address - Street 2:2S
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60640-2300
Practice Address - Country:US
Practice Address - Phone:773-769-2322
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-28
Last Update Date:2013-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.001477101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional