Provider Demographics
NPI:1821143942
Name:PRICE, DEBRA MARIE (MS, LMHC)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:MARIE
Last Name:PRICE
Suffix:
Gender:F
Credentials:MS, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2418 S GARFIELD RD
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99203-3363
Mailing Address - Country:US
Mailing Address - Phone:509-456-6224
Mailing Address - Fax:
Practice Address - Street 1:905 W RIVERSIDE AVE
Practice Address - Street 2:SUITE 501
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99201-1016
Practice Address - Country:US
Practice Address - Phone:509-744-0778
Practice Address - Fax:509-344-0779
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00007759101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health