Provider Demographics
NPI:1669866323
Name:FITZPATRICK, DEBBIE (LPC)
Entity Type:Individual
Prefix:
First Name:DEBBIE
Middle Name:
Last Name:FITZPATRICK
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 1:17533 SW ROBERT LN
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97078-1888
Mailing Address - Country:US
Mailing Address - Phone:513-307-9323
Mailing Address - Fax:503-214-8914
Practice Address - Street 1:17533 SW ROBERT LN
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97078-1888
Practice Address - Country:US
Practice Address - Phone:513-307-9323
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-20
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC1200489101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health