Provider Demographics
NPI:1689209058
Name:DEBOER, PAPILLON JOEL MARTIN (LCMHC)
Entity Type:Individual
Prefix:
First Name:PAPILLON
Middle Name:JOEL MARTIN
Last Name:DEBOER
Suffix:
Gender:M
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:825C MERRIMON AVE STE 365
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28804-2404
Mailing Address - Country:US
Mailing Address - Phone:828-301-2551
Mailing Address - Fax:
Practice Address - Street 1:6 LOCUST STREET
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28804
Practice Address - Country:US
Practice Address - Phone:828-301-2551
Practice Address - Fax:828-826-1789
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-06
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC11692101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional