Provider Demographics
NPI:1700016094
Name:BAKER-DEAN, DEBBIE ANN (LPC)
Entity Type:Individual
Prefix:DR
First Name:DEBBIE
Middle Name:ANN
Last Name:BAKER-DEAN
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 1:8997 LOCKHART T/C RD
Mailing Address - Street 2:
Mailing Address - City:MERIDIAN
Mailing Address - State:MS
Mailing Address - Zip Code:39305
Mailing Address - Country:US
Mailing Address - Phone:601-934-0403
Mailing Address - Fax:601-679-8429
Practice Address - Street 1:8997 LOCKHART TRAILER COURT RD
Practice Address - Street 2:
Practice Address - City:MERIDIAN
Practice Address - State:MS
Practice Address - Zip Code:39305-8426
Practice Address - Country:US
Practice Address - Phone:601-934-0403
Practice Address - Fax:601-679-8429
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-21
Last Update Date:2009-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS0449101Y00000X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor