Provider Demographics
NPI:1831102136
Name:NASH, DEBRA KAY (RN, MA, LPC)
Entity Type:Individual
Prefix:MS
First Name:DEBRA
Middle Name:KAY
Last Name:NASH
Suffix:
Gender:F
Credentials:RN, MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 NE INDEPENDENCE AVENUE
Mailing Address - Street 2:
Mailing Address - City:LEE'S SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64086-5544
Mailing Address - Country:US
Mailing Address - Phone:816-554-4252
Mailing Address - Fax:816-347-3020
Practice Address - Street 1:901 NE INDEPENDENCE AVE
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64086-5544
Practice Address - Country:US
Practice Address - Phone:816-554-4252
Practice Address - Fax:816-554-4252
Is Sole Proprietor?:No
Enumeration Date:2006-08-15
Last Update Date:2010-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2004014253101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional