Provider Demographics
NPI:1669037909
Name:DEBORAH SINNETTE-BAIRD, LICENSED PROFESSIONAL CLINICAL COUNSELOR, PC
Entity Type:Organization
Organization Name:DEBORAH SINNETTE-BAIRD, LICENSED PROFESSIONAL CLINICAL COUNSELOR, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:IRENE
Authorized Official - Last Name:SINNETTE-BAIRD
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:626-708-0049
Mailing Address - Street 1:PO BOX 1505
Mailing Address - Street 2:
Mailing Address - City:MONROVIA
Mailing Address - State:CA
Mailing Address - Zip Code:91017-5505
Mailing Address - Country:US
Mailing Address - Phone:626-708-0049
Mailing Address - Fax:
Practice Address - Street 1:150 WEST SIERRA MADRE BLVD.
Practice Address - Street 2:
Practice Address - City:SIERRA MADRE
Practice Address - State:CA
Practice Address - Zip Code:91024
Practice Address - Country:US
Practice Address - Phone:626-708-0049
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-02
Last Update Date:2019-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty