Provider Demographics
NPI:1831289859
Name:JAMES, DEBORAH L (PHD, LPC)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:L
Last Name:JAMES
Suffix:
Gender:F
Credentials:PHD, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 25234
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28314-5003
Mailing Address - Country:US
Mailing Address - Phone:910-308-2286
Mailing Address - Fax:910-868-6181
Practice Address - Street 1:2827 ARLINGTON AVE
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28303-5403
Practice Address - Country:US
Practice Address - Phone:910-987-9430
Practice Address - Fax:910-868-6181
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8341101YP2500X, 101Y00000X, 101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6104670Medicaid