Provider Demographics
NPI:1871017632
Name:ATKINSON, DEBORAH DIANE (LAC, LMFT)
Entity Type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:DIANE
Last Name:ATKINSON
Suffix:
Gender:F
Credentials:LAC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5973 ENCINA ROAD
Mailing Address - Street 2:102
Mailing Address - City:GOLETA
Mailing Address - State:CA
Mailing Address - Zip Code:93117
Mailing Address - Country:US
Mailing Address - Phone:805-403-7323
Mailing Address - Fax:
Practice Address - Street 1:5973 ENCINA RD
Practice Address - Street 2:102
Practice Address - City:GOLETA
Practice Address - State:CA
Practice Address - Zip Code:93117
Practice Address - Country:US
Practice Address - Phone:805-403-7323
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT48297106H00000X
CAAC9237171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty