Provider Demographics
NPI:1669849972
Name:TRUCCO, DEBRA (MS, LPC)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:
Last Name:TRUCCO
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3201 SPRING RD
Mailing Address - Street 2:
Mailing Address - City:CARLISLE
Mailing Address - State:PA
Mailing Address - Zip Code:17013-8741
Mailing Address - Country:US
Mailing Address - Phone:717-241-2345
Mailing Address - Fax:717-245-9099
Practice Address - Street 1:781 POPLAR CHURCH RD
Practice Address - Street 2:
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-2314
Practice Address - Country:US
Practice Address - Phone:717-241-2345
Practice Address - Fax:717-245-9099
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-24
Last Update Date:2015-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC000735101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional