Provider Demographics
NPI:1659470292
Name:MILLER, DEBRA MARIE (LPC)
Entity Type:Individual
Prefix:MS
First Name:DEBRA
Middle Name:MARIE
Last Name:MILLER
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 1:706 SW ENGLEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:LAWTON
Mailing Address - State:OK
Mailing Address - Zip Code:73505-7428
Mailing Address - Country:US
Mailing Address - Phone:580-536-9724
Mailing Address - Fax:
Practice Address - Street 1:102 SW 12TH ST
Practice Address - Street 2:HALL AND ASSOCIATES COUNSELING CENTER
Practice Address - City:LAWTON
Practice Address - State:OK
Practice Address - Zip Code:73501-3810
Practice Address - Country:US
Practice Address - Phone:580-351-0242
Practice Address - Fax:580-351-0282
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2319101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health