Provider Demographics
NPI:1821469560
Name:HOCKIN, DEBORAH (MA, LPC)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:
Last Name:HOCKIN
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6695 HIGHLAND RD STE 105
Mailing Address - Street 2:
Mailing Address - City:WATERFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48327-1967
Mailing Address - Country:US
Mailing Address - Phone:248-343-5134
Mailing Address - Fax:
Practice Address - Street 1:6695 HIGHLAND RD STE 105
Practice Address - Street 2:
Practice Address - City:WATERFORD
Practice Address - State:MI
Practice Address - Zip Code:48327-1967
Practice Address - Country:US
Practice Address - Phone:248-343-5134
Practice Address - Fax:248-609-7353
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-07
Last Update Date:2021-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401012570101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional