Provider Demographics
NPI:1639246937
Name:ELHARD, DEBORAH J (MS LPCC)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:J
Last Name:ELHARD
Suffix:
Gender:F
Credentials:MS LPCC
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 235
Mailing Address - Street 2:
Mailing Address - City:ELLENDALE
Mailing Address - State:ND
Mailing Address - Zip Code:58436-0235
Mailing Address - Country:US
Mailing Address - Phone:701-678-4800
Mailing Address - Fax:
Practice Address - Street 1:240 MAIN ST
Practice Address - Street 2:
Practice Address - City:ELLENDALE
Practice Address - State:ND
Practice Address - Zip Code:58436
Practice Address - Country:US
Practice Address - Phone:701-678-4800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDLPC707101YP2500X
ND101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
23219OtherBLUE CROSS BLUE SHIELD
18559OtherBLUE CROSS BLUE SHIELD
18558OtherBLUE CROSS BLUE SHIELD
18063OtherBLUE CROSS BLUE SHIELD
27295OtherBLUE CROSS BLUE SHIELD