Provider Demographics
NPI:1679227631
Name:SEBASTIAN, DEANNA (LPC)
Entity Type:Individual
Prefix:
First Name:DEANNA
Middle Name:
Last Name:SEBASTIAN
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 1:240 ALLEGHENY BLVD STE H
Mailing Address - Street 2:
Mailing Address - City:BROOKVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15825-2326
Mailing Address - Country:US
Mailing Address - Phone:814-849-2844
Mailing Address - Fax:814-849-3425
Practice Address - Street 1:240 ALLEGHENY BLVD STE H
Practice Address - Street 2:
Practice Address - City:BROOKVILLE
Practice Address - State:PA
Practice Address - Zip Code:15825-2326
Practice Address - Country:US
Practice Address - Phone:814-849-2844
Practice Address - Fax:814-849-3425
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-09
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC014185101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health